Individual provider Active NPI

Alan S Zwillinger, DDS

  • General Practice Dentistry
  • Mahwah, NJ
National Provider Identifier
1720177900
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11952 Issued in NJ
Practice address
400 Franklin Trpe
Suite 206
Mahwah, NJ 07430
Phone
(201) 825-8766
Fax
(201) 825-2548
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

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 11952 NJ Primary

Addresses

Primary practice location

400 Franklin Trpe
Suite 206
Mahwah, NJ 07430

Mailing address

26 Greenway
Allendale, NJ 07401-1328
Phone (201) 327-6011

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
I20160620000920 NJ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4587955711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11952NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alan S Zwillinger DDS PA 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720177900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GREENWAY",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011328",
            "telephone_number": "201-327-6011",
            "fax_number": "201-825-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FRANKLIN TRPE",
            "address_2": "SUITE 206",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "07430",
            "telephone_number": "201-825-8766",
            "fax_number": "201-825-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWILLINGER",
        "first_name": "ALAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "11952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

Verify at the official NPI Registry.