Individual provider Active NPI

Liron Gamzeh

  • Dentist
  • Tenafly, NJ
National Provider Identifier
1780004754
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02588300 Issued in NJ
Practice address
2 Dean Dr Ste D
Tenafly, NJ 07670-2870
Phone
(201) 871-4505
NPI assigned
Apr 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02588300 NJ Primary

Addresses

Primary practice location

2 Dean Dr Ste D
Tenafly, NJ 07670-2870

Mailing address

2 Dean Dr Ste D
Tenafly, NJ 07670-2870
Phone (443) 928-5322

Other practice location 1

800 Kinderkamack Rd Ste 302N
Oradell, NJ 07649-1534
Phone (201) 871-4505

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
22DI02588300NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oradell Dental Associates CurrentSince Jan 21, 2024 Accepting new patients
Tenafly Dentistry LLC CurrentSince Dec 29, 2024 Accepting new patients

Locations

800 Kinderkamack Rd
Ste 302N
Oradell, NJ 07649
Phone (201) 871-4505

2 Dean Dr
Ste D
Tenafly, NJ 07670
Phone (201) 871-4505

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1780004754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEAN DR STE D",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702870",
            "telephone_number": "443-928-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEAN DR STE D",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702870",
            "telephone_number": "201-871-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Kinderkamack Rd Ste 302N",
            "address_purpose": "LOCATION",
            "city": "Oradell",
            "state": "NJ",
            "postal_code": "076491534",
            "country_code": "US",
            "telephone_number": "201-871-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMZEH",
        "first_name": "LIRON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02588300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.