Jonathan Sipzner, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02521400 Issued in NJ

Practice address

625 Main Ave
3Rd Floor
Passaic, NJ 07055-4952

Phone

(973) 574-1000

Fax

(973) 574-1001

NPI assigned

Dec 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Paramus Dental&Implant Center

  • Dentist
  • Rochelle Park, NJ
  • NPI 1396059234
  NPD (past)
• Smile Central Passaic P.C.

  • General Practice Dentistry
  • Passaic, NJ
  • NPI 1972737583
  NPD (past)

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1881930873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 W PASSAIC ST",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623213",
            "telephone_number": "201-880-7480",
            "fax_number": "201-880-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MAIN AVE",
            "address_2": "3RD FLOOR",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554952",
            "telephone_number": "973-574-1000",
            "fax_number": "973-574-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPZNER",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-18",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02521400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391531",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Silberman, OTR/L, M.S.
• Helen Silberman, BCBA
• Hadassah Silverberg, CCC-SLP
• Esther Simon, MS OTR/L
• Rita Singer, R.D.
• Samuel Skaist, LPC
• SMGH Physician Practice Management, LLC
• Smile Central Passaic P.C.
• Social Circle ABA
• Adina Sokoloff, SLP

• General Practice Dentistry in Passaic, NJ
• Providers in Passaic, 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 Jun 20, 2016; 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.