DR. JASON HOWARD LIZZACK (NPI# 1407912538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407912538 |
| Entity Type | Individual |
| Full Name | DR. JASON HOWARD LIZZACK |
| Credential | D.M.D. |
| Practice Address |
17-10 River Rd Ste 4b Fair Lawn NJ 07410-1250 |
| Practice Telephone | 2017977774 |
| Practice Fax Number | 2017970740 |
| Mailing Telephone | 2017977774 |
| Mailing Fax Number | 2017970740 |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI02166400 | NJ | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
051014 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02556921 | 05 |
| Street Address |
17-10 RIVER RD STE 4B |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679853840 | Yiska Danziger Furman | Dentist | 1110 Promenade Blvd, Fair Lawn, NJ 07410-2770 | 2011-08-19 |
| 1962677476 | Boris Berkhin | Dentist | 3300 Broadway, 206, Fair Lawn, NJ 07410 | 2008-04-25 |
| 1831386648 | Aleksandr Gurvich | Dentist | 39-40 Broadway Ste 5, Fair Lawn, NJ 07410-5413 | 2007-09-26 |
| 1578761961 | Joshua M Prensky | Dentist | 28-10 High St, Fair Lawn, NJ 07410-3589 | 2007-07-06 |
| 1508088899 | Mordehay Rubinchik | Dentist | 13-19a River Rd, Fair Lawn, NJ 07410-1860 | 2007-05-03 |
| 1992924997 | Jonathan W Parker Dmd Pa | Dentist | 38-27 Fair Lawn Ave, Fair Lawn, NJ 07410-4325 | 2007-04-25 |
| 1417071481 | Rania K Scander | Dentist | 59 Pomona Ave, Fair Lawn, NJ 07410-1315 | 2007-03-16 |
| 1396879532 | Jerry H Stahl | Dentist | 8-10 Saddle River Rd, Fair Lawn, NJ 07410-5720 | 2007-03-16 |
| 1497899637 | Howard J Ritt | Dentist | 5-05 Saddle River Rd, Fair Lawn, NJ 07410-5633 | 2007-02-19 |
| 1508923988 | Steven F Canger | Dentist | 28-18 Fair Lawn Avenue, Fair Lawn, NJ 07410-3482 | 2007-01-03 |
| Find all providers in FAIR LAWN | ||||
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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.