Active NPI
Daniel Jed Zonan, D.D.S.
- General Practice Dentistry
- Hartsdale, NY
National Provider Identifier
1083728919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 35101
- Practice address
- 116 N Central Ave
Hartsdale, NY 10530-1910 - Phone
- (914) 948-8111
- Fax
- (914) 948-8111
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35101 | NY | Primary |
Addresses
Primary practice location
116 N Central Ave
Hartsdale, NY 10530-1910
Mailing address
116 N Central Ave
Hartsdale, NY 10530-1910
Phone (914) 948-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150424000616 | NY | Order and Referring Only - Oral Surgery | 8527387539 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35101 | NY | MD | General Practice Dentistry |
| 035101 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083728919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 N CENTRAL AVE",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301910",
"telephone_number": "914-948-8111",
"fax_number": "914-948-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 N CENTRAL AVE",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301910",
"telephone_number": "914-948-8111",
"fax_number": "914-948-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZONAN",
"first_name": "DANIEL",
"middle_name": "JED",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "35101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.