Individual provider Active NPI

Ifrana Zaman, DDS

  • Orofacial Pain Dentistry
  • Boston, MA
National Provider Identifier
1659892024
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
License
DS044486 Issued in PA
Practice address
188 Longwood Ave
Boston, MA 02115-5819
Phone
(617) 432-1434
Fax
(617) 432-4258
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 102851 CA
Orofacial Pain Dentistry 1223X2210X DS044486 PA Primary

Addresses

Primary practice location

188 Longwood Ave
Boston, MA 02115-5819

Mailing address

2 Hawthorne PL Apt 3C
Boston, MA 02114-2304
Phone (718) 314-1714

Other practice location 1

55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-2000

Other practice location 2

909 Walnut St Fl 3
Philadelphia, PA 19107-5211
Phone (215) 955-6215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240830001095 PA Practitioner - Orofacial Pain 6709263262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orofacial Pain
Education
New York University College of Dentistry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

111 S 11TH St
Philadelphia, PA 19107-4824

3 Crescent Dr
Suite 100
Philadelphia, PA 19112-1016
Phone (215) 955-2392

909 Walnut St
2ND Floor
Philadelphia, PA 19107-5211
Phone (215) 955-7000

925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102851CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians CurrentSince Aug 1, 2024 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

909 Walnut St
Fl 3
Philadelphia, PA 19107
Phone (215) 503-7008

3 Crescent Dr
#4
Philadelphia, PA 19112

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 2

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1659892024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HAWTHORNE PL APT 3C",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142304",
            "telephone_number": "718-314-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155819",
            "telephone_number": "617-432-1434",
            "fax_number": "617-432-4258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142696",
            "country_code": "US",
            "telephone_number": "617-726-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 Walnut St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075211",
            "country_code": "US",
            "telephone_number": "215-955-6215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMAN",
        "first_name": "IFRANA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102851",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "PA",
            "license": "DS044486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.