Active NPI
Justin D Zalewsky, DMD, MS
- Periodontics
- Alexandria, VA
National Provider Identifier
1669570586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 0401412998
- Practice address
- 4660 Kenmore Ave
Suite 300
Alexandria, VA 22304-1313 - Phone
- (703) 823-2422
- Fax
- (703) 842-8671
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DEN1000491 | DC | |
| Periodontics | 1223P0300X | 0401412998 | VA | Primary |
| Periodontics | 1223P0300X | DS036545 | PA |
Addresses
Primary practice location
4660 Kenmore Ave
Suite 300
Alexandria, VA 22304-1313
Mailing address
4660 Kenmore Ave
Suite 300
Alexandria, VA 22304-1313
Phone (703) 823-2422
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1000491 | DC | MD | Periodontist |
| DS036545 | PA | MD | Periodontist |
| 0401412998 | VA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JDZ 19TH Street, PLLC | Current | Accepting new patients |
Locations
4660 Kenmore Ave
Ste 300
Alexandria, VA 22304
Phone (703) 823-2422
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.
-
- General Practice Dentistry
- Washington, DC
- NPI 1255046843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1669570586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE",
"address_2": "SUITE 300",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041313",
"telephone_number": "703-823-2422",
"fax_number": "703-842-8671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE",
"address_2": "SUITE 300",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041313",
"telephone_number": "703-823-2422",
"fax_number": "703-842-8671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZALEWSKY",
"first_name": "JUSTIN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "DC",
"license": "DEN1000491",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "0401412998",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS036545",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.