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DR. JASON HOWARD LIZZACK D.M.D.
NPI 1407912538
Dentist - General Practice in Fair Lawn, NJ

Active since January 01, 2007PECOS Enrolled
17-10 RIVER RD STE 4B, FAIR LAWN, NJ 07410(201) 797-7774(201) 797-0740 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jason Howard Lizzack D.m.d. NPPES

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

DR. JASON HOWARD LIZZACK D.M.D. (NPI 1407912538) is an individual general practice provider in Fair Lawn, New Jersey, licensed in New Jersey (22DI02166400) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407912538
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JASON HOWARD LIZZACKCredential: D.M.D.
Location Address17-10 RIVER RD STE 4BFair Lawn, NJ 07410-1250
Mailing Address17-10 River Rd Ste 4bFair Lawn, NJ 07410-1250 · (201) 797-7774 · Fax (201) 797-0740
Phone(201) 797-7774
Fax(201) 797-0740
Sole ProprietorYes
Enumeration DateJanuary 1, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1407912538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NJ · 22DI02166400✔ Licensed in NY · 051014
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.
17-10 RIVER RD STE 4B, Fair Lawn, NJ 07410
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Other Identifiers 1

Medicaid02556921NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Humana, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jason Howard Lizzack D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jason Lizzack's NPI number?

The NPI number for Jason Lizzack is 1407912538. It was assigned to this individual provider in the NPPES registry on January 1, 2007.

Where is Jason Lizzack located?

Jason Lizzack practices at 17-10 River Rd Ste 4B, Fair Lawn, NJ 07410. The listed phone number is (201) 797-7774.

What is Jason Lizzack's specialty?

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

Is Jason Lizzack enrolled in Medicare?

Yes. Jason Lizzack is registered in the Medicare PECOS enrollment system.

What insurance does Jason Lizzack accept?

Health plans from Florida Combined Life, Humana and UnitedHealthcare list Jason Lizzack 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 Jason Lizzack was last updated on July 9, 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.