Individual provider Active NPI

Yael Kryzman, DDS

  • Dentist
  • Hackensack, NJ
National Provider Identifier
1609040286
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02398000 Issued in NJ
Practice address
35 Pangborn PL
Hackensack, NJ 07601-4506
Phone
(201) 488-8866
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02398000 NJ Primary
Dentist 122300000X 054034-1 NY

Addresses

Primary practice location

35 Pangborn PL
Hackensack, NJ 07601-4506

Mailing address

135 County Rd
Ste 2
Cresskill, NJ 07626-2201
Phone (201) 568-9811

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
I20160517002126 NJ Order and Referring Only - DentistPractitioner - Dentist 7012206857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02398000NJMDDentist
054034-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Dental Kids Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1609040286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COUNTY RD",
            "address_2": "STE 2",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262201",
            "telephone_number": "201-568-9811",
            "fax_number": "201-568-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PANGBORN PL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014506",
            "telephone_number": "201-488-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYZMAN",
        "first_name": "YAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02398000",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054034-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.