Louis J Russo Jr Jonathan L Nicozisis DMD Ms PA
NPI 1942425137ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Princeton, NJ
Dentist, Orthodontics and Dentofacial Orthopedics in Princeton, New Jersey, registered in NPPES in April 2007. The authorized official on file is Jonathan Louis Nicozisis, DMD MS, Partner, Owner.
Overview
| NPI | 1942425137 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | DI 20775 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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