Jacqueline Elaine Zamani, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

054910 Issued in NY

Practice address

133 Broadway
Lynbrook, NY 11563-3234

Phone

(516) 561-3333

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Little Smiles on Broadway

  • General Practice Dentistry
  • Lynbrook, NY
  • NPI 1992184717
  NPD (past)

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1336460609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633234",
            "telephone_number": "917-587-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633234",
            "telephone_number": "516-561-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMANI",
        "first_name": "JACQUELINE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "054910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Mei Young Yen, D.D.S., F.A.G.D.
• Scott David Yerys, MS, DPT MA, ES, CSCS
• Eldad Yusupov, RN
• Z-Net Diagnostic Cardiology PC
• Mohammed Zaman
• Lizbeth Zavala
• Zen & Body LLC
• Theofanis P Zois, RPA-C
• Jacob J. Zong, LAC
• Kerry Zorn, RD, CDE

• Pediatric Dentistry in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.