Individual provider Active NPI

Jonathan Zamzok, D.D.S.

  • Dentist
  • New York, NY
National Provider Identifier
1770790073
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
035689 Issued in NY
Practice address
150 E 58TH St
Suite3200
New York, NY 10155-0002
Phone
(212) 752-7936
Fax
(212) 754-6753
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

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
Dentist 122300000X 035689 NY Primary

Addresses

Primary practice location

150 E 58TH St
Suite3200
New York, NY 10155-0002

Mailing address

227 Bedford Rd
Greenwich, CT 06831-2647
Phone (203) 629-0836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.
Opted out of Medicare
Yes, effective Feb 22, 2016 through Feb 22, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170531000410 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4486921152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035689NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770790073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 BEDFORD RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068312647",
            "telephone_number": "203-629-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 58TH ST",
            "address_2": "SUITE3200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101550002",
            "telephone_number": "212-752-7936",
            "fax_number": "212-754-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMZOK",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "035689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.