Lisa Lian, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02697300 Issued in NJ

Practice address

19 Wills Way
Piscataway, NJ 08854-3770

Phone

(732) 733-2166

Fax

(732) 733-4012

NPI assigned

Mar 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Smile Garden Pediatric Dentistry

  • Pediatric Dentistry
  • Piscataway, NJ
  • NPI 1063263879
  NPD Authorized official

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1669832523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WILLS WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543770",
            "telephone_number": "732-733-2166",
            "fax_number": "732-733-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WILLS WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543770",
            "telephone_number": "732-733-2166",
            "fax_number": "732-733-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAN",
        "first_name": "LISA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "060110",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02697300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE DENTAL LICENSE",
            "identifier": "060110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY DENTAL LICENSE",
            "identifier": "22DI02697300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helene Lewis, LCSW
• Shannon K Lewis
• LFM OT PC
• Huan Li, DMD
• Vincent Li
• Lifeease Equipment LLC
• Lifting Adults With Guidance
• Lightyear Health Physiatry Clinic New Jersey, PC
• Marino Lima
• Darren Lin

• Pediatric Dentistry in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.