IndividualActive
Nicholas Bizzaro, DMD
NPI 1366090094 · General Practice Dentistry · Philadelphia, PA
Nicholas Bizzaro, DMD is a General Practice Dentistry provider in Philadelphia, PA (NPI 1366090094).
Provider details
- NPI number
- 1366090094
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DS042438 (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3223 N Broad St
Philadelphia, PA 19140-5007
Phone: (215) 707-2900
Street-level locationGet directions
Mailing address
5639 Ridge Ave
Philadelphia, PA 19128-2765
Additional practice locations (1)
- 545 N Broad StPhiladelphia, PA 19123-3592Phone: (215) 896-6524
Registry dates
- Enumerated
- 2019-08-27
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Frequently asked questions
- What is Nicholas Bizzaro's NPI number?
- Nicholas Bizzaro's National Provider Identifier (NPI) is 1366090094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Bizzaro's specialty?
- Nicholas Bizzaro is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Nicholas Bizzaro located?
- Nicholas Bizzaro's practice location on file with NPPES is 3223 N Broad St, Philadelphia, PA 19140-5007.
- What is Nicholas Bizzaro's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Bizzaro is (215) 707-2900.
- Is Nicholas Bizzaro's NPI active?
- Yes — Nicholas Bizzaro's NPI (1366090094) is active in the NPPES registry as of the last update on 2026-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.