Eisen & Zirkin PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DI18372 Issued in NJ

Legal business name

EISEN & ZIRKIN PA

Practice address

50 US Highway 9 N
Suite 102
Morganville, NJ 07751-1574

Phone

(732) 972-5922

Fax

(732) 972-6520

NPI assigned

Nov 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Louis Zirkin, DDS

Title

Owner

Phone

(732) 972-5922

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386722718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 US HIGHWAY 9 N",
            "address_2": "SUITE 102",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511574",
            "telephone_number": "732-972-5922",
            "fax_number": "732-972-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 US HIGHWAY 9 N",
            "address_2": "SUITE 102",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511574",
            "telephone_number": "732-972-5922",
            "fax_number": "732-972-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISEN & ZIRKIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIRKIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-972-5922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI13109",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI18372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.