Individual provider Active NPI

Kenneth P. Zaorski, D.M.D.

  • General Practice Dentistry
  • Rutherford, NJ
National Provider Identifier
1669498077
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
09977 Issued in NJ
Practice address
50 Ridge Rd
Rutherford, NJ 07070-2135
Phone
(201) 438-4848
Fax
(201) 460-4708
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 09977 NJ Primary

Addresses

Primary practice location

50 Ridge Rd
Rutherford, NJ 07070-2135

Mailing address

50 Ridge Rd
Rutherford, NJ 07070-2135
Phone (201) 438-4848

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
I20160216000547 NJ Order and Referring Only - DentistPractitioner - Dentist 1658675442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09977NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth P Zaorski DMD PA General Practice Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669498077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 RIDGE RD",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702135",
            "telephone_number": "201-438-4848",
            "fax_number": "201-460-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 RIDGE RD",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702135",
            "telephone_number": "201-438-4848",
            "fax_number": "201-460-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAORSKI",
        "first_name": "KENNETH",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "09977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.