Individual provider Active NPI

Zohar Nawlo, DDS

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1659801165
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
060068 Issued in NY
Practice address
3605 Avenue S
Brooklyn, NY 11234-4829
Phone
(718) 339-6544
NPI assigned
Jun 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 060068 NY Primary

Addresses

Primary practice location

3605 Avenue S
Brooklyn, NY 11234-4829

Mailing address

3605 Avenue S
Brooklyn, NY 11234-4829
Phone (718) 339-6544

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

NPI Registry JSON

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

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1659801165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344829",
            "telephone_number": "718-339-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344829",
            "telephone_number": "718-339-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWLO",
        "first_name": "ZOHAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-16",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "060068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; 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.