Healthcare Provider Details

I. General information

NPI: 1033897061
Provider Name (Legal Business Name): ARLINDA DRAGA MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1771 MADISON AVE
LAKEWOOD NJ
08701-1242
US

IV. Provider business mailing address

345 EAST 24TH STREET
NEW YORK NY
10010
US

V. Phone/Fax

Practice location:
  • Phone: 732-364-6666
  • Fax:
Mailing address:
  • Phone: 212-998-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number1033897061
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: