Ismari E Labrada, D.D.S.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

22DI02261700 Issued in NJ

Practice address

2200 New York Ave
Union City, NJ 07087-4502

Phone

(201) 863-0426

Fax

(201) 758-5566

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 12, 2015 through Oct 12, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dentismiles, LLC

  • General Practice Dentistry
  • Union City, NJ
  • NPI 1710296249
  NPD (past) Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1982659975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NEW YORK AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874502",
            "telephone_number": "201-863-0426",
            "fax_number": "201-758-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NEW YORK AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874502",
            "telephone_number": "201-863-0426",
            "fax_number": "201-758-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRADA",
        "first_name": "ISMARI",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NJ",
            "license": "22DI02261700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066443",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nagesh B. Krish, M.D., P.A.
• KS Pharmacy LLC
• Anjali Kumar
• Kwickmed Farmacia LLC
• La Farmacia
• Maite Lasaga-Ayala, PHD
• Ileana Laucer
• Marilian Lauzan Guia, D.M.D
• Learning Solutions, LLC
• Samuel Miles Lemieux, DMD

• Public Health Dentistry in Union City, NJ
• Providers in Union City, NJ by specialty
• Public Health Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.