Active NPI
Scott Louis Zirkin, DDS
- Periodontics
- Sea Girt, NJ
National Provider Identifier
1154409571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DI18372
- Practice address
- 2130 Highway 35
Suite 121
Sea Girt, NJ 08750-1010 - Phone
- (732) 449-1166
- Fax
- (732) 449-3344
- NPI assigned
- Nov 2, 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DI18372 | NJ | Primary |
Addresses
Primary practice location
2130 Highway 35
Suite 121
Sea Girt, NJ 08750-1010
Mailing address
807 Dancer LN
Manalapan, NJ 07726-8875
Phone (732) 683-0077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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 |
|---|---|---|---|---|
| I20140729002164 | NJ | Order and Referring Only - Oral Surgery | 1759507692 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven F Eisen Dmdpa | Periodontics | Past | Accepting new patients |
| Enviable Gums | Periodontics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Sea Girt, NJ
- NPI 1326707886
-
- Periodontics
- Sea Girt, NJ
- NPI 1306868278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154409571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 DANCER LN",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077268875",
"telephone_number": "732-683-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 HIGHWAY 35",
"address_2": "SUITE 121",
"city": "SEA GIRT",
"state": "NJ",
"postal_code": "087501010",
"telephone_number": "732-449-1166",
"fax_number": "732-449-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIRKIN",
"first_name": "SCOTT",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "DI18372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sea Girt, NJ
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.