Lorraine Brenner, D.M.D

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI02572400 Issued in NJ

Practice address

1053 Bloomfield Ave Ste 14
Clifton, NJ 07012

Phone

(973) 471-7200

NPI assigned

Nov 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clifton Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clifton, NJ
  • NPI 1487818126
  NPD (past)

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

{
    "created_epoch": "1416700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1619374402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MARIN BLVD",
            "address_2": "APT 20K",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023653",
            "telephone_number": "201-247-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 BLOOMFIELD AVE STE 14",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07012",
            "telephone_number": "973-471-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011914",
            "country_code": "US",
            "telephone_number": "551-996-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-23",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02572400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaderia I Boykins
• Elizabeth A Boyle, MD
• Jennifer L Brandt, LCSW
• Julie Pamela Bravo, LSW, CADC
• Brendan P Sullivan MD Facc LLC
• Tanya Bressel
• Broad Street Surgical Center, LLC
• Broad Street Wellness Center
• Andrew Broadfoot
• Eva Broadfoot

• Orthodontics and Dentofacial Orthopedics Dentistry in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.