MEDICARE: DR. ISMARI E LABRADA D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223D0001X	Public Health Dentistry	22DI02261700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982659975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISMARI E LABRADA D.D.S.

Provider Business Mailing Address
First Line	:	2200 NEW YORK AVE
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-4502
Country	:	US
Telephone Number	:	201-863-0426
Fax Number	:	201-758-5566

Provider Business Practice Location Address
First Line	:	2200 NEW YORK AVE
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-4502
Country	:	US
Telephone Number	:	201-863-0426
Fax Number	:	201-758-5566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	02/27/2015

Similar Medicare Providers

1710296249 — DENTISMILES, LLC
Practice Location Address:

2200 NEW YORK AVE
UNION CITY, NJ
07087-4502

Practice Phone: 201-863-0426
Practice Fax: 201-758-5566

1225195100 — DR. DIANA A. SCOTT D.C.
Practice Location Address:

34712 ALVARADO NILES RD
UNION CITY, CA
94587-4502

Practice Phone: 510-489-2225
Practice Fax:

1033253067 — GARY M LOUIE OD
Practice Location Address:

34724 ALVARADO NILES RD
UNION CITY, CA
94587-4502

Practice Phone: 510-489-5510
Practice Fax: 510-489-5658

1134491012 — GARY M. LOUIE O.D. INC.
Practice Location Address:

34724 ALVARADO NILES RD
UNION CITY, CA
94587-4502

Practice Phone: 510-489-5510
Practice Fax: 510-489-5658

1275195141 — DR. ANGELA WONG OD
Practice Location Address:

34724 ALVARADO NILES RD
UNION CITY, CA
94587-4502

Practice Phone: 510-489-5510
Practice Fax:

1740924000 — DR. ANGELA WONG, INC
Practice Location Address:

34724 ALVARADO NILES RD
UNION CITY, CA
94587-4502

Practice Phone: 510-489-5510
Practice Fax:

Directions to “ DR. ISMARI E LABRADA D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.