Louis J Russo Jr Jonathan L Nicozisis DMD Ms PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DI 20775 Issued in NJ

Legal business name

LOUIS J RUSSO JR JONATHAN L NICOZISIS DMD MS PA

Practice address

601 Ewing St
B 12
Princeton, NJ 08540-2757

Phone

(609) 924-3271

NPI assigned

Apr 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Louis Nicozisis, DMD MSNPI 1356771687

Title

Partner, Owner

Phone

(609) 924-3271

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Louis Nicozisis, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Princeton, NJ
  • NPI 1356771687
  NPD (past) Authorized official

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

{
    "created_epoch": "1176595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942425137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EWING ST",
            "address_2": "B 12",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-924-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING ST",
            "address_2": "B 12",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-924-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS J RUSSO JR JONATHAN L NICOZISIS DMD MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICOZISIS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PARTNER, OWNER",
        "authorized_official_telephone_number": "609-924-3271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DI 20775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LMG M.D., Inc.
• Locklab Provider Group NJ, P.C.
• Daniel James Lodge, PA-C
• Kayla Lodge, PA-C
• Catherine Ann Long, APN
• Charis Louissaint
• Nickolas Low-Beer, RDN, RN
• Deborah C. Lowden Donahue, R.D.
• Janet Lowe
• Howard Lu, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Princeton, NJ
• Providers in Princeton, 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 Aug 22, 2020; 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.