Jenna Zonneveld, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DR02323 Issued in NJ

Practice address

110 Bergen St
Oral Medicine Clinic - Umdnj
Newark, NJ 07103-2495

Phone

(412) 720-6624

NPI assigned

Sep 24, 2010

Last updated

Sep 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1871801878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PARK AVE",
            "address_2": "APT 2A",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701711",
            "telephone_number": "412-720-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BERGEN ST",
            "address_2": "ORAL MEDICINE CLINIC - UMDNJ",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032495",
            "telephone_number": "412-720-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZONNEVELD",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DR02323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Zimmermann, RN
• Shreni Natoo Zinzuwadia, M.D.
• Nicole Zippilli, PA-C
• Jessica Nutik Zitter, M.D.
• Kappukalar A Ziyaaudhin, MD
• Theofano Zoumpou, MD
• Nicole Alexandra Zuber, M.D.
• Amalia Zuna, DNP, CPNP-AC/PC
• Daniel Jonathan Zunger, MD
• Zuwe Home-Care, LLC

• General Practice Dentistry in Newark, NJ
• Providers in Newark, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.