Individual provider Active NPI

Louis B Izower, DDS, MS

  • General Practice Dentistry
  • Paramus, NJ
National Provider Identifier
1457573479
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI 013486 Issued in NJ
Practice address
342 N Farview Ave
Paramus, NJ 07652-4631
Phone
(201) 261-0880
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI 013486 NJ Primary

Addresses

Primary practice location

342 N Farview Ave
Paramus, NJ 07652-4631

Mailing address

342 N Farview Ave
Paramus, NJ 07652-4631
Phone (201) 261-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151210000006 NJ Order and Referring Only - DentistPractitioner - Dentist 7810298197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DI 013486NJMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457573479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 N FARVIEW AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524631",
            "telephone_number": "201-261-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 N FARVIEW AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524631",
            "telephone_number": "201-261-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZOWER",
        "first_name": "LOUIS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI 013486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.