Individual provider Active NPI

Ira J. Zohn, D.M.D.

  • Endodontics
  • Ocean, NJ
National Provider Identifier
1871718254
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
AI1987049 Issued in NJ
Practice address
1398 State Route 35
Ocean, NJ 07712-3543
Phone
(732) 531-9200
Fax
(732) 531-3006
NPI assigned
Apr 13, 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
Endodontics 1223E0200X AI1987049 NJ Primary

Addresses

Primary practice location

1398 State Route 35
Ocean, NJ 07712-3543

Mailing address

1398 State Route 35
Ocean, NJ 07712-3543
Phone (732) 531-9200

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
I20151026000269 NJ Order and Referring Only - DentistPractitioner - Dentist 6709195134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871718254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 STATE ROUTE 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123543",
            "telephone_number": "732-531-9200",
            "fax_number": "732-531-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 STATE ROUTE 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123543",
            "telephone_number": "732-531-9200",
            "fax_number": "732-531-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOHN",
        "first_name": "IRA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "AI1987049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.