NICHOLAS BIZZARO


Address: 3223 N Broad St, Philadelphia, PA 19140-5007
Phone: 2157072900

NICHOLAS BIZZARO (NPI# 1366090094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366090094
Entity Type Individual
Full Name NICHOLAS BIZZARO
Credential DMD
Practice Address 3223 N Broad St
Philadelphia
PA 19140-5007
Mailing Address 5639 Ridge Ave
Philadelphia
PA 19128-2765
Practice Telephone 2157072900
Mailing Telephone 2158966524
Enumeration Date 2019-08-27
Last Update Date 2019-08-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DS042438 PA Dental Providers

Office Location

Street Address 3223 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-5007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871581959 Dione J Cash Pediatrics 3223 N Broad St, Philadelphia, PA 19140-5007 2005-10-12
1992313357 Amir Maki Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2020-07-21
1386252070 Maria Jun Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2020-07-19
1407464423 Ping Wang Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2020-07-15
1104450535 Vladimir Flys Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2020-02-25
1619537743 Thomas Adel Student in an Organized Health Care Education/Training Program 3223 N Broad St, Philadelphia, PA 19140-5007 2019-06-20
1972163897 Divya Trikannad Student in an Organized Health Care Education/Training Program 3223 N Broad St, Philadelphia, PA 19140-5007 2019-06-13
1588221717 Joseph Leonard Mustazza Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2019-05-22
1790341048 Gregory Ramirez Student in an Organized Health Care Education/Training Program 3223 N Broad St, Philadelphia, PA 19140-5007 2019-05-13
1073074365 Mustafa A Badi Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2019-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790385581 Samir Zahedpasha Dentist 1933 Delancey Pl, Philadelphia, PA 19103-6611 2020-10-29
1164040424 Aledy Miguelina Moreta Dentist 1813 Vineyard St, Philadelphia, PA 19130-2122 2020-07-13
1033737473 David Agia Dentist 1318 Franklin Mills Cir # 807, Philadelphia, PA 19154-3130 2020-07-13
1710504113 Hanna Lee Dentist 1616 S Rosewood St, Philadelphia, PA 19145-1519 2020-07-01
1982221636 Aldo Profka Dentist 8001 Roosevelt Blvd Ste 304, Philadelphia, PA 19152-3039 2020-06-29
1558985317 Oxford Dental LLC Dentist 5233 Oxford Ave, Philadelphia, PA 19124-1803 2020-06-07
1487277935 Issam Ghaben Dentist 4210 Sansom St, Philadelphia, PA 19104-3589 2020-05-19
1508490509 Mount Airy Family Dental LLC Dentist 1600 Ivy Hill Rd, Philadelphia, PA 19150-1008 2020-02-27
1801436506 Special Outreach Services, PC Dentist 2301 E Allegheny Ave Ste 202, Philadelphia, PA 19134-4427 2020-01-10
1720624547 Philadelphia Mills Dental Center Dentist 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 2019-11-27
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Competitor

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City PHILADELPHIA
Zip Code 19140

Improve Information

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Dataset Information

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.

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