Active NPI
Maryjane Lim Fuster, DMD
- Dentist
- Milpitas, CA
National Provider Identifier
1508909136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43786
- Practice address
- 53 Marylinn Dr
Milpitas, CA 95035-4311 - Phone
- (408) 934-0391
- Fax
- (408) 934-0398
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 43786 | CA | Primary |
Addresses
Primary practice location
53 Marylinn Dr
Milpitas, CA 95035-4311
Mailing address
6267 Robertson Ave
Newark, CA 94560-4335
Phone (408) 934-0391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43786 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryjane L. Fuster DMD Apc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Milpitas, CA
- NPI 1700110384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1508909136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6267 ROBERTSON AVE",
"city": "NEWARK",
"state": "CA",
"postal_code": "945604335",
"telephone_number": "408-934-0391",
"fax_number": "408-934-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 MARYLINN DR",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950354311",
"telephone_number": "408-934-0391",
"fax_number": "408-934-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSTER",
"first_name": "MARYJANE",
"middle_name": "LIM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milpitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.