Individual provider Active NPI

Ellen Zbar, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1972865152
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046141 Issued in NY
Practice address
350 5TH Ave
Suite 2618
New York, NY 10118-0110
Phone
(212) 868-2507
Fax
(212) 868-2510
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 046141 NY
Endodontics 1223E0200X 046141 NY
General Practice Dentistry 1223G0001X 046141 NY Primary
Pediatric Dentistry 1223P0221X 046141 NY
Periodontics 1223P0300X 046141 NY

Addresses

Primary practice location

350 5TH Ave
Suite 2618
New York, NY 10118-0110

Mailing address

350 5TH Ave
Suite 2618
New York, NY 10118-0110
Phone (212) 868-2507

Other identifiers 1

IdentifierTypeStateIssuer
046141OtherNYDDS NEW YORK STATE LIC #

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
046141NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1972865152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 5TH AVE",
            "address_2": "SUITE 2618",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101180110",
            "telephone_number": "212-868-2507",
            "fax_number": "212-868-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 5TH AVE",
            "address_2": "SUITE 2618",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101180110",
            "telephone_number": "212-868-2507",
            "fax_number": "212-868-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZBAR",
        "first_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046141",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "046141",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046141",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "046141",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "046141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDS NEW YORK STATE LIC #",
            "identifier": "046141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.