Individual provider Active NPI

Lina N Iskandarani, DMD

  • General Practice Dentistry
  • Clifton, NJ
National Provider Identifier
1740347921
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI17800 Issued in NJ
Practice address
1113 Main Ave
Clifton, NJ 07011-2354
Phone
(973) 779-3771
Fax
(973) 779-7796
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI17800 NJ Primary

Addresses

Primary practice location

1113 Main Ave
Clifton, NJ 07011-2354

Mailing address

1113 Main Ave
Clifton, NJ 07011-2354
Phone (973) 779-3771

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

LicenseStateTypeSpecialty
DI17800NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740347921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112354",
            "telephone_number": "973-779-3771",
            "fax_number": "973-779-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112354",
            "telephone_number": "973-779-3771",
            "fax_number": "973-779-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDARANI",
        "first_name": "LINA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI17800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.