NICHOLAS BIZZARO DMD
NPI 1366090094
Dentist - General Practice in Philadelphia, PA

Active since August 27, 2019
3223 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-2900 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Aug 27, 2019 (2 updates tracked since 2019).

About Nicholas Bizzaro Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS BIZZARO DMD (NPI 1366090094) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS042438) and active in the NPI registry since August 2019. He maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1366090094
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameNICHOLAS BIZZAROCredential: DMD
Location Address3223 N BROAD STPhiladelphia, PA 19140-5007
Mailing Address5639 Ridge AvePhiladelphia, PA 19128-2765 · (215) 896-6524
Sole ProprietorNo
Enumeration DateAugust 27, 2019
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1366090094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DS042438
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.
3223 N BROAD ST, Philadelphia, PA 19140

Secondary Practice Location 1

Location 1545 N Broad StPhiladelphia, PA 19123-3592 · Phone (215) 896-6524

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist (Oral and Maxillofacial Surgery)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Bizzaro's NPI number?

The NPI number for Nicholas Bizzaro is 1366090094. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Nicholas Bizzaro located?

Nicholas Bizzaro practices at 3223 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-2900.

What is Nicholas Bizzaro's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Nicholas Bizzaro accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Nicholas Bizzaro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Bizzaro was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.