Active NPI
Matthew James Zieman, DMD
- Dentist
- Cinnaminson, NJ
National Provider Identifier
1205179926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13500
- Practice address
- 700 Route 130 N
Suite 102
Cinnaminson, NJ 08077-3365 - Phone
- (856) 786-2333
- NPI assigned
- Apr 1, 2013
- Last updated
- Apr 1, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 13500 | NJ | Primary |
Addresses
Primary practice location
700 Route 130 N
Suite 102
Cinnaminson, NJ 08077-3365
Mailing address
700 Route 130 N
Suite 102
Cinnaminson, NJ 08077-3365
Phone (856) 786-2333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407023229 | Other | NJ | TYPE II NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13500 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Zieman DMD LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Cinnaminson, NJ
- NPI 1407023229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1205179926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ROUTE 130 N",
"address_2": "SUITE 102",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080773365",
"telephone_number": "856-786-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ROUTE 130 N",
"address_2": "SUITE 102",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080773365",
"telephone_number": "856-786-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEMAN",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-01",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "13500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE II NPI",
"identifier": "1407023229",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cinnaminson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.