Individual provider Active NPI

Judita Zibuts, D.D.S.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1336262385
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052800 Issued in NY
Practice address
39 Broadway RM 2115
New York, NY 10006-3051
Phone
(212) 422-9229
Fax
(212) 742-0928
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 052800 NY Primary

Addresses

Primary practice location

39 Broadway RM 2115
New York, NY 10006-3051

Mailing address

39 Broadway RM 2115
New York, NY 10006-3051
Phone (212) 422-9229

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Exchange Dental Office, PLLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1336262385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BROADWAY RM 2115",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100063051",
            "telephone_number": "212-422-9229",
            "fax_number": "212-742-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BROADWAY RM 2115",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100063051",
            "telephone_number": "212-422-9229",
            "fax_number": "212-742-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIBUTS",
        "first_name": "JUDITA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.