Active NPI
Luz M Nieto, DMD
- Dentist
- North Plainfield, NJ
National Provider Identifier
1811169899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI01698900
- Practice address
- 340 Somerset St
North Plainfield, NJ 07060-4730 - Phone
- (908) 754-2233
- Fax
- (908) 754-2158
- NPI assigned
- Mar 30, 2008
- Last updated
- Mar 7, 2023
- 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 | 22DI01698900 | NJ | Primary |
Addresses
Primary practice location
340 Somerset St
North Plainfield, NJ 07060-4730
Mailing address
2082 Westfield Ave
Scotch Plains, NJ 07076-1812
Phone (908) 490-0987
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22DI01698900 | Other | NJ | BRANCH OFFICE LICENSE |
| DO6209200 | Other | NJ | CDS LICENSE |
| DI016989 | Other | NJ | DENTAL LICENSE |
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 |
|---|---|---|---|
| 22DI01698900 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1811169899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2082 WESTFIELD AVE",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761812",
"telephone_number": "908-490-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 SOMERSET ST",
"city": "NORTH PLAINFIELD",
"state": "NJ",
"postal_code": "070604730",
"telephone_number": "908-754-2233",
"fax_number": "908-754-2158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIETO",
"first_name": "LUZ",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI01698900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRANCH OFFICE LICENSE",
"identifier": "22DI01698900",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS LICENSE",
"identifier": "DO6209200",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "DI016989",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.