Organization Active NPI

Arnold Zomickd.D.S.

  • Preferred Provider Organization
  • Brooklyn, NY
National Provider Identifier
1306009428
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
31204 Issued in NY
Legal business name
ARNOLD ZOMICKD.D.S.
Practice address
633 5TH Ave
Brooklyn, NY 11215-5434
Phone
(718) 499-6761
Fax
(718) 499-6761
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Arnold L Zomick, D.D.S.
Title
Owner
Phone
(718) 499-6761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 31204 NY Primary

Addresses

Primary practice location

633 5TH Ave
Brooklyn, NY 11215-5434

Mailing address

633 5TH Ave
Brooklyn, NY 11215-5434
Phone (718) 499-6761

Other identifiers 1

IdentifierTypeStateIssuer
00280011MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1306009428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155434",
            "telephone_number": "718-499-6761",
            "fax_number": "718-499-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155434",
            "telephone_number": "718-499-6761",
            "fax_number": "718-499-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNOLD ZOMICKD.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "ZOMICK",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-499-6761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "31204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00280011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.