DR. NEAL B NISSEN D.D.S.
NPI 1376608976
Dentist - Pediatric Dentistry in Brooklyn, NY

Q: What is Neal Nissen's NPI number?

The NPI number for Neal Nissen is 1376608976. It was assigned to this individual provider in the NPPES registry on December 25, 2006.

Q: What is Neal Nissen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Neal Nissen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since December 25, 2006

2005 AVENUE L, APT. 1F, BROOKLYN, NY 11210(718) 338-0015 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Neal B Nissen D.d.s. NPPES

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

DR. NEAL B NISSEN D.D.S. (NPI 1376608976) is an individual pediatric dentistry provider in Brooklyn, New York, licensed in New York (033959-1) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1376608976

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. NEAL B NISSENCredential: D.D.S.

Location Address2005 AVENUE L, APT. 1FBrooklyn, NY 11210-4550

Mailing Address2005 Avenue L, Apt. 1fBrooklyn, NY 11210-4550 · (718) 338-0015

Phone(718) 338-0015

Sole ProprietorYes

Enumeration DateDecember 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1376608976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in NY · 033959-1

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2005 AVENUE L, Brooklyn, NY 11210

Open in Google Maps ↗

Other Identifiers 1

Medicaid00412579NY

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 Neal Nissen's NPI number?

The NPI number for Neal Nissen is 1376608976. It was assigned to this individual provider in the NPPES registry on December 25, 2006.

Where is Neal Nissen located?

Neal Nissen practices at 2005 Avenue L Apt. 1F, Brooklyn, NY 11210. The listed phone number is (718) 338-0015.

What is Neal Nissen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Neal Nissen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.