Individual provider Active NPI

Elvis Zakaim, DMD

  • Dentist
  • Paramus, NJ
National Provider Identifier
1447307855
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17005 Issued in NJ
Practice address
413 N Farview Ave
Paramus, NJ 07652-4618
Phone
(201) 261-0216
NPI assigned
Jan 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17005 NJ Primary

Addresses

Primary practice location

413 N Farview Ave
Paramus, NJ 07652-4618

Mailing address

413 N Farview Ave
Paramus, NJ 07652-4618
Phone (201) 261-0216

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
I20150721002659 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4183937071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17005NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447307855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N FARVIEW AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524618",
            "telephone_number": "201-261-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N FARVIEW AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524618",
            "telephone_number": "201-261-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKAIM",
        "first_name": "ELVIS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "17005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.