Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Herawati Tirtadjaja Kandou, DDS

Dentist in Elizabeth, NJ · enumerated 2009 · practices at Herawati T Kandou DDS PA.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023246105

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Registry record

Entity type Individual (Type 1)

Name Dr. Herawati Tirtadjaja Kandou

Credential DDS

Sex Female

Practice address 35 Jefferson Avenue, Elizabeth, NJ, 07201

Phone (908) 354-1188

Fax (908) 352-7390

Enumeration date Jun 26, 2009

Last updated in NPPES Jun 26, 2009

Taxonomy & licenses

122300000X Dentist Dental Providers · License 9708 (NJ) Primary

1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers · License 3026 (NJ) Secondary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier	Type	State	Issuer
3141209-01	Medicaid	NJ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Herawati Kandou practice?

The practice location on file with NPPES is in Elizabeth, NJ. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Herawati Kandou?

The National Provider Identifier (NPI) for Herawati Kandou is 1023246105, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Herawati T Kandou DDS PA Dentist · Elizabeth, NJ NPI 1871666586

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-26.