Active NPI
Lara Jill Merker-Eisen, DMD
- Periodontics
- West Orange, NJ
National Provider Identifier
1508060732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 22D102333300
- Practice address
- 101 Old Short Hills Rd Ste 514
West Orange, NJ 07052-1023 - Phone
- (973) 766-1534
- NPI assigned
- Jun 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 22D102333300 | NJ | Primary |
Addresses
Primary practice location
101 Old Short Hills Rd Ste 514
West Orange, NJ 07052-1023
Mailing address
101 Old Short Hills Rd Ste 514
West Orange, NJ 07052-1023
Phone (973) 766-1534
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140804000176 | NJ | Order and Referring Only - Oral Surgery | 2062639750 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D102333300 | NJ | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1508060732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 OLD SHORT HILLS RD STE 514",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521023",
"telephone_number": "973-766-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 OLD SHORT HILLS RD STE 514",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521023",
"telephone_number": "973-766-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKER-EISEN",
"first_name": "LARA",
"middle_name": "JILL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "22D102333300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Orange, NJ
- Marni Mendez
- Mental Health Assn of Essex and Morris
- Mental Health Association of Essex and Morris, Inc.
- Mental Health Therapeutic Behavioral Supports & Dev. Dis., LLC
- Mercy Medical Transport
- Erin Mershon
- Metro East Community Care, LLC.
- Metropolitan Craniofacial Center
- Michael K. Seidenstein, MD PA
- Michael Vincent Verdi DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.