Active NPI
Marta Pisinska, DDS
- General Practice Dentistry
- Garfield, NJ
National Provider Identifier
1457385635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02259300
- Practice address
- 160 Lanza Ave
Suite 11
Garfield, NJ 07026-3510 - Phone
- (973) 955-2023
- NPI assigned
- Jul 11, 2006
- Last updated
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 050321-1 | NY | |
| General Practice Dentistry | 1223G0001X | 22DI02259300 | NJ | Primary |
Addresses
Primary practice location
160 Lanza Ave
Suite 11
Garfield, NJ 07026-3510
Mailing address
274 Slocum Way
Fort Lee, NJ 07024-5306
Phone (917) 842-0366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02388250 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110623000377 | NY | Order and Referring Only - Oral Surgery | 8426236308 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02259300 | NJ | MD | General Practice Dentistry |
| 050321-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Interoperability endpoints
- mpisinska562994@nychhc.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1457385635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 SLOCUM WAY",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245306",
"telephone_number": "917-842-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 LANZA AVE",
"address_2": "SUITE 11",
"city": "GARFIELD",
"state": "NJ",
"postal_code": "070263510",
"telephone_number": "973-955-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISINSKA",
"first_name": "MARTA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "050321-1",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02259300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02388250",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.