Emile Amzallag, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010159 Issued in CT

Practice address

2100 Linwood Ave
#7-S
Fort Lee, NJ 07024-3186

Phone

(646) 266-2642

NPI assigned

Nov 8, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1257638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1902133291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LINWOOD AVE",
            "address_2": "#7-S",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243186",
            "telephone_number": "646-266-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LINWOOD AVE",
            "address_2": "#7-S",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243186",
            "telephone_number": "646-266-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMZALLAG",
        "first_name": "EMILE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-08",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Altman, D.C.
• Amanda G Alvarez, M.S. CCC-SLP
• Gabriella Dee Amaya, SLP
• Luz Maria Amigo, M.A., CCC-SLP
• Patience Ampofo
• NA Hea An, M.S., CCC-SLP
• Sanghyop An, PT, DPT
• Andrew M Rodgers
• Andrew Nam, MD, Mba P.C.
• Andrew Razin, M.D., P.C.

• General Practice Dentistry in Fort Lee, NJ
• Providers in Fort Lee, 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 9, 2015; 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.