Organization Active NPI

Jeffrey N Zatzkin DDS

  • Periodontics
  • Tinton Falls, NJ
National Provider Identifier
1417064767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
17214 Issued in NJ
Legal business name
JEFFREY N ZATZKIN DDS
Practice address
620 Strewsbury Ave
Tinton Falls, NJ 07701
Phone
(732) 747-1766
Fax
(732) 747-7772
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Colleen M Pasquale
Title
Office Manager
Phone
(732) 747-4766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 17214 NJ Primary

Addresses

Primary practice location

620 Strewsbury Ave
Tinton Falls, NJ 07701

Mailing address

620 Strewsbury Ave
Tinton Falls, NJ 07701
Phone (732) 747-1766

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417064767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-747-1766",
            "fax_number": "732-747-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-747-1766",
            "fax_number": "732-747-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY N ZATZKIN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PASQUALE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-747-4766"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "17214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • 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.