DR. BRETT MICHAEL ZUCKMAN (NPI# 1053699967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053699967 |
| Entity Type | Individual |
| Full Name | DR. BRETT MICHAEL ZUCKMAN |
| Credential | DMD |
| Practice Address |
315 W 57th St Apt. 5g New York NY 10019-3158 |
| Mailing Address |
1075 Central Park Ave Suite 207 Scarsdale NY 10583-3242 |
| Practice Telephone | 2035453477 |
| Mailing Telephone | 9144725252 |
| Mailing Fax Number | 9147225987 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
055511-1 | NY | Dental Providers |
| Street Address |
315 W 57TH ST APT. 5G |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-3158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403485 | Edward Jew | Obstetrics & Gynecology | 315 W 57th St, Ste 204, New York, NY 10019-3158 | 2005-08-09 |
| 1740715150 | Nios Spa | Point of Service | 315 W 57th St, Suite 308, New York, NY 10019-3158 | 2017-04-23 |
| 1023553609 | Mollie Eliasof Lcsw Therapy Pllc | Social Worker | 315 W 57th St, Suite 307, New York, NY 10019-3158 | 2017-01-05 |
| 1063969798 | Lydia Leinsdorf | Social Worker | 315 W 57th St, 10d, New York, NY 10019-3158 | 2016-09-11 |
| 1770933830 | Elkhonon Goldberg | Clinical Neuropsychologist | 315 W 57th St, Suite 401, New York, NY 10019-3158 | 2016-06-20 |
| 1023473378 | Altus Neurosurgery and Spine Pllc | Specialist | 315 W 57th St, Apt 15j, New York, NY 10019-3158 | 2015-12-30 |
| 1679947519 | Katherine Cazilas | Physician Assistant | 315 W 57th St, New York, NY 10019-3158 | 2015-11-16 |
| 1497123574 | Knighton Mental Health Services | Community/Behavioral Health | 315 W 57th St, 307, New York, NY 10019-3158 | 2015-09-08 |
| 1063859890 | Susan B. Roane | Psychologist | 315 W 57th St, Suite 410, New York, NY 10019-3158 | 2013-06-03 |
| 1962741025 | Caitlin Brady | Nurse Practitioner | 315 W 57th St, Suite 304, New York, NY 10019-3158 | 2013-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
| 1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
| 1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
| 1235541038 | Azaz Awan | Dentist | 335 Malcolm X Blvd, New York, NY 10027-3703 | 2014-05-28 |
| 1699196329 | Majid Jamali, Dmd, P.C. | Dentist | 42 Broadway Ste 1501, New York, NY 10004-1617 | 2013-12-24 |
| 1518268739 | Abdul Basit Karim | Dentist | 1111 Amsterdam Ave # 205, St. Luke's-roosevelt Hospital Center, New York, NY 10025-1716 | 2010-11-04 |
| 1134356157 | Anayo Obi Adachie | Dentist | 10 Union Sq E Ste 5b, New York, NY 10003-3314 | 2009-06-17 |
| 1598991044 | Leslie Abraham | Dentist | 200 E 57th St, Apt 5j, New York, NY 10022-2860 | 2009-06-10 |
| 1316173537 | Jennifer Frangos | Dentist | 13 W 13th St Apt 5bs, Oral & Maxillofacial Surgery, New York, NY 10011-8122 | 2009-06-02 |
| 1821223041 | Marcello Guglielmi | Dentist | 1775 Grand Councourse, 6 Th Floor, Bronx-lebanon Hospital Center, New York, NY 10453 | 2009-05-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.