Active NPI
Scott Evan Zitofsky, DDS
- Dentist
- Clifton Park, NY
National Provider Identifier
1760517841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D051800
- Practice address
- 601 Bruno Rd
Clifton Park, NY 12065-1904 - Phone
- (727) 631-2456
- NPI assigned
- Feb 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02303200 | NJ | |
| Dentist | 122300000X | D051800 | NY | Primary |
Addresses
Primary practice location
601 Bruno Rd
Clifton Park, NY 12065-1904
Mailing address
601 Bruno Rd
Clifton Park, NY 12065-1904
Phone (727) 631-2456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 2, 2015 through Dec 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02303200 | NJ | MD | Dentist |
| D051800 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1760517841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 BRUNO RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120651904",
"telephone_number": "727-631-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BRUNO RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120651904",
"telephone_number": "727-631-2456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZITOFSKY",
"first_name": "SCOTT",
"middle_name": "EVAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02303200",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "D051800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.