DR. JEFFREY ALAN ZISSU (NPI# 1124042528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124042528 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ALAN ZISSU |
| Credential | DDS |
| Practice Address |
75 Main St Millburn NJ 07041-1367 |
| Practice Telephone | 9734675567 |
| Practice Fax Number | 9734675639 |
| Mailing Telephone | 9734675567 |
| Mailing Fax Number | 9734675639 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
22D100870200 | NJ | Dental Providers |
| Street Address |
75 MAIN ST |
| City | MILLBURN |
| State | NJ |
| Zip Code | 07041-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285808154 | Alan Arthur Layton | Dentist | 75 Main St, Suite 102, Millburn, NJ 07041-1367 | 2008-04-22 |
| 1578650636 | Cardiovascular Consulting Group | Spec/Tech, Cardiovascular | 75 Main St, Suite 202, Millburn, NJ 07041-1367 | 2006-10-09 |
| 1588751291 | Short Hills Chiropractic LLC | Chiropractor | 75 Main St, Suite 104, Millburn, NJ 07041-1367 | 2006-10-06 |
| 1487660213 | Keith Golin Phd LLC | Psychologist | 75 Main St, Ste 103, Millburn, NJ 07041-1367 | 2006-08-01 |
| 1164446365 | Cheryl J Goren Robins | Dentist | 75 Main St, Suite 107, Millburn, NJ 07041-1367 | 2006-07-27 |
| 1598785370 | Laura C Sottile | Chiropractor | 75 Main St, Suite 104, Millburn, NJ 07041-1367 | 2006-07-21 |
| 1114953403 | Erwin Joseph Bulan | Plastic Surgery | 75 Main St, Suite 105, Millburn, NJ 07041-1367 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696879 | Michael J. Kahn | Psychologist | 114 Millburn Avenue, Suite Number 200, Millburn, NJ 07041 | 2018-04-17 |
| 1780063586 | Beth Israel Medicial Center | General Acute Care Hospital | 927 Ridgewood Road, Millburn, NJ 07041 | 2015-05-26 |
| 1457762577 | Amy Ladetsky | Occupational Therapist | 25 Greenwood Drive, Millburn, NJ 07041 | 2014-05-12 |
| 1033384193 | Doris Marie Breckenridge | Psychiatry & Neurology | 116 Millburn Avenue, Suite 200, Millburn, NJ 07041 | 2008-04-29 |
| 1477722627 | M. Mai-tram D. Ho | Chiropractor | 58 Mountain Ave, Millburn, NJ 07041 | 2008-02-21 |
| 1689880320 | Wendy Caroline Wisz | Dentist | 250 Millburn Ave., Millburn, NJ 07041 | 2007-05-16 |
| 1578775680 | Margaret M Mcintyre | Dentist | 421 Essex St, Millburn, NJ 07041 | 2007-05-03 |
| 1225189210 | Regina Ann Schaefer | Social Worker | 55 Bleeker Street, Millburn, NJ 07041 | 2007-01-16 |
| 1124188800 | Patricia Ann Delgaldo | Social Worker | 368 Essex Street, 2nd Floor, Millburn, NJ 07041 | 2006-12-11 |
| 1366541690 | Mahesh R Desai | Internal Medicine | 120 Millburn Avenue, Suite M2, Millburn, NJ 07041 | 2006-09-22 |
| Find all providers in zip 07041 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639283948 | Suburban Periodontics and Implants | Dentist | 75 Main Street, Suite 107, Millburn, NJ 07041 | 2006-08-17 |
| 1659479368 | Gary Mark Rosenblatt | Dentist | 187 Millburn Ave, Suite 2, Millburn, NJ 07041-1847 | 2006-09-20 |
| 1922015361 | Marc Jeffery Goldman | Dentist | 116 Millburn Ave, Suite 204, Millburn, NJ 07041-1943 | 2006-08-01 |
| 1164446365 | Cheryl J Goren Robins | Dentist | 75 Main St, Suite 107, Millburn, NJ 07041-1367 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559994 | Daniela Gurpegui Abud | Dentist | 100 Park Ave Apt Ph4j, Fort Lee, NJ 07024-3806 | 2020-02-10 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1104478189 | Meera Sahni | Dentist | 3069 English Creek Ave Ste 101, Egg Harbor Township, NJ 08234-9708 | 2019-07-10 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1437636917 | Noam L Saltzburg | Dentist | 738 Park Ave, Elizabeth, NJ 07208-1349 | 2018-07-26 |
| 1912406745 | Terri Anne Binder | Dentist | Eisai Inc, 155 Tice Blvd, Woodcliff Lake, NJ 07677-8406 | 2018-02-07 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1801326111 | Mina Ebrahimi Daryani | Dentist | 1307 White Horse Rd Ste B100, Voorhees, NJ 08043-2156 | 2017-06-19 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1275932006 | Javier Sanz Moliner | Dentist | 103 Mansfield Rd E, Columbus, NJ 08022-2108 | 2014-08-18 |
| Find all providers with the same taxonomy | ||||
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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.