Individual provider Active NPI

Edward Jay Zuckerberg, D.D.S.

  • General Practice Dentistry
  • Dobbs Ferry, NY
National Provider Identifier
1902809981
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033711 Issued in NY
Practice address
2 Russell PL
Dobbs Ferry, NY 10522-1509
Phone
(914) 693-9696
Fax
(914) 693-6714
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 033711 NY Primary

Addresses

Primary practice location

2 Russell PL
Dobbs Ferry, NY 10522-1509

Mailing address

2 Russell PL
Dobbs Ferry, NY 10522-1509
Phone (914) 693-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
033711NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902809981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RUSSELL PL",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221509",
            "telephone_number": "914-693-9696",
            "fax_number": "914-693-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RUSSELL PL",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221509",
            "telephone_number": "914-693-9696",
            "fax_number": "914-693-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKERBERG",
        "first_name": "EDWARD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.