Active NPI
Noushin Nasri-Ghajari, DDS
- Pediatric Dentistry
- Lodi, NJ
National Provider Identifier
1871668137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 19447
- Practice address
- Children Dentistry of Lodi
170 Main Street Units 109-110
Lodi, NJ 07644 - Phone
- (201) 397-1420
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 19447 | NJ | Primary |
Addresses
Primary practice location
Children Dentistry of Lodi
170 Main Street Units 109-110
Lodi, NJ 07644
Mailing address
163 Alpine Dr
Closter, NJ 07624-2811
Phone (201) 741-9565
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 |
|---|---|---|---|
| 19447 | NJ | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1871668137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 ALPINE DR",
"city": "CLOSTER",
"state": "NJ",
"postal_code": "076242811",
"telephone_number": "201-741-9565",
"fax_number": "201-302-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILDREN DENTISTRY OF LODI",
"address_2": "170 MAIN STREET UNITS 109-110",
"city": "LODI",
"state": "NJ",
"postal_code": "07644",
"telephone_number": "201-397-1420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASRI-GHAJARI",
"first_name": "NOUSHIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2025-04-15",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "19447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.