Active NPI
Albert P Zengo, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Nyack, NY
National Provider Identifier
1285794701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 24726
- Practice address
- 2 Sickletown Road
West Nyack, NY 10994-2205 - Phone
- (845) 358-2271
- Fax
- (845) 358-5579
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 24726 | NY | Primary |
Addresses
Primary practice location
2 Sickletown Road
West Nyack, NY 10994-2205
Mailing address
2 Sickletown Road
West Nyack, NY 10994-2205
Phone (845) 358-2271
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 |
|---|---|---|---|
| 24726 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285794701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SICKLETOWN ROAD",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942205",
"telephone_number": "845-358-2271",
"fax_number": "845-358-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SICKLETOWN ROAD",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942205",
"telephone_number": "845-358-2271",
"fax_number": "845-358-5579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENGO",
"first_name": "ALBERT",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "24726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.