Individual provider Active NPI

Helene Victoria Zimnes, DMD

  • Dentist
  • Eatontown, NJ
National Provider Identifier
1356678411
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI02059500 Issued in NJ
Practice address
15 White St
Eatontown, NJ 07724-1524
Phone
(732) 542-0034
Fax
(732) 542-0176
NPI assigned
Nov 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI02059500 NJ Primary

Addresses

Primary practice location

15 White St
Eatontown, NJ 07724-1524

Mailing address

15 White St
Eatontown, NJ 07724-1524
Phone (732) 542-0034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160418001045 NJ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5496053902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI02059500NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1356678411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WHITE ST",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241524",
            "telephone_number": "732-542-0034",
            "fax_number": "732-542-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WHITE ST",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241524",
            "telephone_number": "732-542-0034",
            "fax_number": "732-542-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMNES",
        "first_name": "HELENE",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI02059500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.