LAKE FAMILY DENTISTRY
NPI 1275804312
Clinic/Center - Dental in Colonia, NJ
About Lake Family Dentistry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE FAMILY DENTISTRY (NPI 1275804312) is a healthcare organization registered as a dental in Colonia, New Jersey and active in the NPI registry since January 2012. The organization lists Danish Qadri, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Family Dentistry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Family Dentistry, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lake Family Dentistry PC's NPI number?
The NPI number for Lake Family Dentistry PC is 1275804312. It was assigned to this organization in the NPPES registry on January 21, 2012. The provider is doing business as Lake Family Dentistry.
Where is Lake Family Dentistry PC located?
Lake Family Dentistry PC is located at 296 Lake Ave, Colonia, NJ 07067. The listed phone number is (732) 388-2822.
What is Lake Family Dentistry PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Lake Family Dentistry PC enrolled in Medicare?
Yes. Lake Family Dentistry PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Family Dentistry PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Lake Family Dentistry PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lake Family Dentistry PC was last updated on January 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lake Family Dentistry · NPI 1275804312
Dental organization in Colonia, New Jersey. Organization record, active in the CMS NPPES registry since January 21, 2012.
## Identity
- **NPI:** 1275804312 (Entity type: Organization)
- **Enumerated:** January 21, 2012
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Legal business name:** Lake Family Dentistry Pc
- **Organization subpart:** No
- **Authorized official:** Danish Qadri, PRESIDENT
## Practice location
- **Address:** 296 LAKE AVE, Colonia, NJ 07067-1201
- **Phone:** (732) 388-2822 · **Fax:** (732) 388-3115
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1275804312) · Data from the CMS NPPES public registry.