Peter Demetrius Tsambazis, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI01821800 Issued in NJ

Practice address

223 Mallory Ave
Jersey City, NJ 07304-1256

Phone

(201) 332-3358

Fax

(201) 332-4002

NPI assigned

Jan 8, 2007

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter Tsambazis DMD, Inc

  dba Advanced Dental of Jersey City LLC

  • Dentist
  • Naples, FL
  • NPI 1194322651

  Periodontics

  NPD Authorized official
• Peter Tsambazis DMD, P.a.

  • Dentist
  • Naples, FL
  • NPI 1407454960

  Periodontics

  NPD Authorized official
• Advanced Dental of Jersey City LLC

  • Periodontics
  • Jersey City, NJ
  • NPI 1003108051
  NPD (past) Authorized official
• Family Dental Clinic,Inc.

  dba Jamesburg Dental Center

  • General Practice Dentistry
  • Jersey City, NJ
  • NPI 1528125382
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1366590051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HANCOX AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103336",
            "telephone_number": "973-542-8089",
            "fax_number": "973-542-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MALLORY AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041256",
            "telephone_number": "201-332-3358",
            "fax_number": "201-332-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAMBAZIS",
        "first_name": "PETER",
        "middle_name": "DEMETRIUS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI01821800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Truevine Family Mental Health Services (TrueVine Family Mental Health Services LLC)
• Truhands Home Support L.L.C.
• Ryan Trulby, DDS, MS
• Trustees of Columbia University (Columbia Ophthalmology Consultants)
• Christina Trutescu, PA-C
• Judy M. Tseng, L.AC., C.AC., NP
• Yang Shien Tseng, D.D.S.
• TTL Vison Associates Inc
• Jeffrey Tuazon, NP
• Josef Tuazon, D.P.T.

• Periodontics in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.