Individual provider Active NPI

Jonathan Eric Zeichner, D.D.S.

  • Periodontics
  • New York, NY
National Provider Identifier
1306860838
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
031494 Issued in NY
Practice address
57 E 72ND St
1 B
New York, NY 10021-4122
Phone
(212) 772-3355
Fax
(212) 772-3357
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 031494 NY Primary

Addresses

Primary practice location

57 E 72ND St
1 B
New York, NY 10021-4122

Mailing address

57 E 72ND St
1 B
New York, NY 10021-4122
Phone (212) 772-3355

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220531001071 NY Practitioner - DentistPractitioner - Oral Surgery 2961796016 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306860838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 E 72ND ST",
            "address_2": "1 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214122",
            "telephone_number": "212-772-3355",
            "fax_number": "212-772-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E 72ND ST",
            "address_2": "1 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214122",
            "telephone_number": "212-772-3355",
            "fax_number": "212-772-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEICHNER",
        "first_name": "JONATHAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "031494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.