Active NPI
Zachary Zysman
- Dentist
- Clifton, NJ
National Provider Identifier
1780387837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI03008900
- Practice address
- 991 Van Houten Ave
Clifton, NJ 07013-2643 - Phone
- (973) 777-1933
- NPI assigned
- Mar 27, 2023
- Last updated
- Aug 27, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI03008900 | NJ | Primary |
Addresses
Primary practice location
991 Van Houten Ave
Clifton, NJ 07013-2643
Mailing address
333 River St Apt 1130
Hoboken, NJ 07030-5872
Phone (201) 527-5171
Other practice location 1
1455 Broad St # 105A
Bloomfield, NJ 07003-3047
Phone (862) 727-7116
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03008900 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louis R Vita DDS LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Vita Head Neck & Facial Pain Relief Center
- Chiropractor
- Clifton, NJ
- NPI 1831386457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1780387837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 RIVER ST APT 1130",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305872",
"telephone_number": "201-527-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 VAN HOUTEN AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132643",
"telephone_number": "973-777-1933"
}
],
"practiceLocations": [
{
"address_1": "1455 Broad St # 105A",
"address_purpose": "LOCATION",
"city": "Bloomfield",
"state": "NJ",
"postal_code": "070033047",
"country_code": "US",
"telephone_number": "862-727-7116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZYSMAN",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI03008900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.