Individual provider Active NPI

Zain Manji, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Long Island City, NY
National Provider Identifier
1609034685
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
60-262981 Issued in NY
Practice address
4705 Center Blvd
#2607
Long Island City, NY 11109-5740
Phone
(917) 455-1598
NPI assigned
May 27, 2008
Last updated
Oct 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 50-055838 NY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 60-262981 NY Primary

Addresses

Primary practice location

4705 Center Blvd
#2607
Long Island City, NY 11109-5740

Mailing address

4705 Center Blvd
#2607
Long Island City, NY 11109-5740
Phone (917) 455-1598

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50-055838NYMDOral and Maxillofacial Surgery (Dentist)
60-262981NYMDOral & Maxillofacial Surgery (D.M.D.)
055838NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1609034685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 CENTER BLVD",
            "address_2": "#2607",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095740",
            "telephone_number": "917-455-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 CENTER BLVD",
            "address_2": "#2607",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095740",
            "telephone_number": "917-455-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJI",
        "first_name": "ZAIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "50-055838",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "60-262981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.