Healthcare Provider Details

I. General information

NPI: 1285545996
Provider Name (Legal Business Name): ZDG GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1243 SUSSEX TPKE STE 3
RANDOLPH NJ
07869-2998
US

IV. Provider business mailing address

1243 SUSSEX TPKE STE 3
RANDOLPH NJ
07869-2998
US

V. Phone/Fax

Practice location:
  • Phone: 973-895-7995
  • Fax:
Mailing address:
  • Phone: 973-895-7995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY GOLDSTEIN
Title or Position: OWNER
Credential: DMD
Phone: 973-975-3048