Active NPI
Justin William Ben Zvi, DDS
- General Practice Dentistry
- Bronx, NY
National Provider Identifier
1477780823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 055257-1
- Practice address
- 1770 Grand Concourse
Ste 2F
Bronx, NY 10457-5524 - Phone
- (718) 901-8110
- Fax
- (718) 901-8121
- NPI assigned
- Jun 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 055257-1 | NY | Primary |
Addresses
Primary practice location
1770 Grand Concourse
Ste 2F
Bronx, NY 10457-5524
Mailing address
875 Mamaroneck Ave
Suite 302
Mamaroneck, NY 10543-1900
Phone (914) 835-6004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03370821 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055257-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Mobile Dental, P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Oneonta, NY
- NPI 1700943750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1477780823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 MAMARONECK AVE",
"address_2": "SUITE 302",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105431900",
"telephone_number": "914-835-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 GRAND CONCOURSE",
"address_2": "STE 2F",
"city": "BRONX",
"state": "NY",
"postal_code": "104575524",
"telephone_number": "718-901-8110",
"fax_number": "718-901-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEN ZVI",
"first_name": "JUSTIN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-12",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "055257-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03370821",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.