Active NPI
Samuel Zeichner, D.M.D.
- Dentist
- Chatham, NJ
National Provider Identifier
1669668562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 041756
- Practice address
- 36 Woodlawn Dr
Chatham, NJ 07928-1176 - Phone
- (201) 486-2073
- NPI assigned
- Sep 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 10980 | NJ | |
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 041756 | NY | |
| Dentist | 122300000X | 041756 | NY | Primary |
Addresses
Primary practice location
36 Woodlawn Dr
Chatham, NJ 07928-1176
Mailing address
36 Woodlawn Dr
Chatham, NJ 07928-1176
Phone (201) 486-2073
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10980 | NJ | MD | Oral and Maxillofacial Radiology Dentist |
| 041756 | NY | MD | Oral and Maxillofacial Radiology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1669668562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 WOODLAWN DR",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079281176",
"telephone_number": "201-486-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WOODLAWN DR",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079281176",
"telephone_number": "201-486-2073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEICHNER",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-25",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "NJ",
"license": "10980",
"primary": false
},
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "NY",
"license": "041756",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "041756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.