Jacy Papasikos, D.M.D

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI02491000 Issued in NJ

Practice address

55 Park St
Montclair, NJ 07042-3439

Phone

(908) 246-4960

NPI assigned

Nov 2, 2013

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383350400000",
    "number": "1902235757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423439",
            "telephone_number": "908-246-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423439",
            "telephone_number": "908-246-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPASIKOS",
        "first_name": "JACY",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02491000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Abigail Pama, APN
• Pragati Pandey, M.D.
• Papasikos Orthodontics
• Arianna Leigh Papasikos, D.M.D., M.B.A.
• George J. Papasikos, D.MD., F.A.G.D, P.A.
• Nicholas Papouchis, PH.D., ABPP
• Parabolic Performance & Rehab, LLC
• Susan C. Parente, PSY.D.
• Chong H Park, M.D., F.R.C.S.(US)
• Kang-Woo Daniel Park, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.