Active NPI
Jason Michael Zylbering, DMD
- Dentist
- Boca Raton, FL
National Provider Identifier
1891957601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN18248
- Practice address
- 2151 NW 2ND Ave
Suite 102
Boca Raton, FL 33431-7456 - Phone
- (561) 226-0100
- NPI assigned
- Jul 2, 2008
- Last updated
- Jul 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | DN18248 | FL | Primary |
Addresses
Primary practice location
2151 NW 2ND Ave
Suite 102
Boca Raton, FL 33431-7456
Mailing address
6422 Collins Ave Apt 401
Miami Beach, FL 33141-4660
Phone (305) 316-6757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160218002316 | FL | Order and Referring Only - Other (Physician) | 9830494434 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18248 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1891957601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6422 COLLINS AVE APT 401",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331414660",
"telephone_number": "305-316-6757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 NW 2ND AVE",
"address_2": "SUITE 102",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317456",
"telephone_number": "561-226-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZYLBERING",
"first_name": "JASON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN18248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.