Active NPI
Isaac Menasha, DDS
- Dentist
- Edison, NJ
National Provider Identifier
1932255684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02183900
- Practice address
- 1726 State Route 27
Edison, NJ 08817-3449 - Phone
- (732) 985-7666
- Fax
- (732) 985-6841
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02183900 | NJ | Primary |
Addresses
Primary practice location
1726 State Route 27
Edison, NJ 08817-3449
Mailing address
1726 State Route 27
Edison, NJ 08817-3449
Phone (732) 985-7666
Other practice location 1
1025 W Saint Georges Ave
Linden, NJ 07036-6134
Phone (908) 486-8809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150617002731 | NJ | Order and Referring Only - Dentist | 4587975511 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1932255684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1726 STATE ROUTE 27",
"city": "EDISON",
"state": "NJ",
"postal_code": "088173449",
"telephone_number": "732-985-7666",
"fax_number": "732-985-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 STATE ROUTE 27",
"city": "EDISON",
"state": "NJ",
"postal_code": "088173449",
"telephone_number": "732-985-7666",
"fax_number": "732-985-6841"
}
],
"practiceLocations": [
{
"address_1": "1025 W Saint Georges Ave",
"address_purpose": "LOCATION",
"city": "Linden",
"state": "NJ",
"postal_code": "070366134",
"country_code": "US",
"telephone_number": "908-486-8809",
"fax_number": "908-486-2669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENASHA",
"first_name": "ISAAC",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02183900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.