Individual provider Active NPI

Ryan Zlotkowski, DMD

  • General Practice Dentistry
  • Riverdale, NJ
National Provider Identifier
1700917127
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D102289100 Issued in NJ
Practice address
27 Newark Pompton Tpke
Riverdale, NJ 07457-1186
Phone
(973) 835-0702
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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 22D102289100 NJ Primary

Addresses

Primary practice location

27 Newark Pompton Tpke
Riverdale, NJ 07457-1186

Mailing address

27 Newark Pompton Tpke Ste 1
Riverdale, NJ 07457-1187
Phone (973) 835-0702

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
I20160622000886 NJ Order and Referring Only - DentistPractitioner - Dentist 7517264542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D102289100NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pompton Dental Arts LLC General Practice Current Accepting new patients

Locations

435 Ringwood Ave
Pompton Lakes, NJ 07442
Phone (973) 835-0702

27 Newark Pompton Tpke
Ste 1
Riverdale, NJ 07457

27 Newark Pompton Tpke
Riverdale, NJ 07457
Phone (973) 835-0702

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1700917127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 NEWARK POMPTON TPKE STE 1",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571187",
            "telephone_number": "973-835-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571186",
            "telephone_number": "973-835-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZLOTKOWSKI",
        "first_name": "RYAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102289100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

Verify at the official NPI Registry.