Healthcare Provider Details

I. General information

NPI: 1215874391
Provider Name (Legal Business Name): MERZEAU DENTAL PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

953 MAIN ST APT C
HACKENSACK NJ
07601-5164
US

IV. Provider business mailing address

953 MAIN ST APT C
HACKENSACK NJ
07601-5164
US

V. Phone/Fax

Practice location:
  • Phone: 201-342-5929
  • Fax: 201-342-9208
Mailing address:
  • Phone: 201-342-5929
  • Fax: 201-342-9208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HUMBERTO ANGEL MERZEAU
Title or Position: OWNER/PRESIDENT/DENTIST
Credential: DDS
Phone: 201-736-0303