Active NPI
Elizabeth A Noboa, DDS
- Dentist
- Kearny, NJ
National Provider Identifier
1669564373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20622
- Practice address
- 134 Grand PL
Kearny, NJ 07032-1847 - Phone
- (201) 246-0080
- NPI assigned
- Sep 29, 2006
- Last updated
- Jan 15, 2026
- 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 | 20622 | NJ | Primary |
Addresses
Primary practice location
134 Grand PL
Kearny, NJ 07032-1847
Mailing address
134 Grand PL
Kearny, NJ 07032-1847
Phone (201) 246-0080
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 |
|---|---|---|---|
| 20622 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Noboa Dentista Familiar PC | Dentist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Kearny, NJ
- NPI 1124562715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1669564373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 GRAND PL",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070321847",
"telephone_number": "201-246-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 GRAND PL",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070321847",
"telephone_number": "201-246-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBOA",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "20622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearny, NJ
- National Vision, Inc (America's Best Contacts & Eyeglasses)
- Nebula Health Care Solutions
- New Jersey CVS Pharmacy LLC (CVS Pharmacy #17848)
- New Jersey CVS Pharmacy LLC (CVS Pharmacy 00385)
- John Ni, MD
- North Jersey Chiropractic LLC
- Angelica P Notis
- Alice D. Novitt, DMD
- Kayla Ogletree, LCSW
- Jennifer Olmo, RN, BEC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.