Healthcare Provider Details

I. General information

NPI: 1336732726
Provider Name (Legal Business Name): LIZA ISAAC DDS, BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 E NORTHFIELD RD STE 211
LIVINGSTON NJ
07039-4806
US

IV. Provider business mailing address

349 E NORTHFIELD RD STE 211
LIVINGSTON NJ
07039-4806
US

V. Phone/Fax

Practice location:
  • Phone: 973-731-4800
  • Fax:
Mailing address:
  • Phone: 973-731-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number22DI03099500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: