Active NPI
Joseph Zelig, DDS
- Periodontics
- New Milford, NJ
National Provider Identifier
1508948795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 22DI02202400
- Practice address
- 417 Vomel Dr
New Milford, NJ 07646-2424 - Phone
- (917) 930-9920
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 050285 | NY | |
| Periodontics | 1223P0300X | 22DI02202400 | NJ | Primary |
Addresses
Primary practice location
417 Vomel Dr
New Milford, NJ 07646-2424
Mailing address
417 Vomel Dr
New Milford, NJ 07646-2424
Phone (917) 930-9920
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 |
|---|---|---|---|
| 22DI02202400 | NJ | MD | Periodontist |
| 050285 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1508948795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 VOMEL DR",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076462424",
"telephone_number": "917-930-9920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 VOMEL DR",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076462424",
"telephone_number": "917-930-9920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELIG",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "050285",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "22DI02202400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Milford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.