Individual provider Active NPI

Mark Zafir, DDS

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1669823415
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
059234 Issued in NY
Practice address
99 Nassau Ave
Brooklyn, NY 11222-3082
Phone
(718) 383-0024
NPI assigned
Jun 23, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 059234 NY
Dentist 122300000X 059234 NY Primary

Addresses

Primary practice location

99 Nassau Ave
Brooklyn, NY 11222-3082

Mailing address

53 Neptune Ave
Woodmere, NY 11598-1724

Other practice location 1

87 Elderd Ln
Cedarhurst, NY 11516-2013
Phone (516) 239-1200

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

LicenseStateTypeSpecialty
059234NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Great Neck Dental PLLC General Practice PastSince Jun 22, 2021 Accepting new patients
99 Nassau Ave Dental PLLC Past Accepting new patients

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, 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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669823415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 NEPTUNE AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NASSAU AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112223082",
            "telephone_number": "718-383-0024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Elderd Ln",
            "address_purpose": "LOCATION",
            "city": "Cedarhurst",
            "state": "NY",
            "postal_code": "115162013",
            "country_code": "US",
            "telephone_number": "516-239-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAFIR",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059234",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "059234",
            "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 Mar 17, 2018; 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.