1578591467 NPI number — JAMES D ZINMAN M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578591467 NPI number — JAMES D ZINMAN M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

ZINMAN

Provider First Name:

JAMES

Provider Middle Name:

D

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1578591467

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

03/10/2022

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

1 DIAMOND HILL RD

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

BERKELEY HEIGHTS

Provider Business Mailing Address State Name:

NJ

Provider Business Mailing Address Postal Code:

07922-2104

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

908-273-4300

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

1515 BROAD ST STE B120

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

BLOOMFIELD

Provider Business Practice Location Address State Name:

NJ

Provider Business Practice Location Address Postal Code:

07003-3059

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

973-873-7000

Provider Business Practice Location Address Fax Number:

973-743-8943

Provider Enumeration Date:

06/29/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 208800000X , with the licence number:  25MA07414100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 368366 . This is a "WELLCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 3S8052 . This is a "EMPIRE BCBS (WAYNE)" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 1099386 . This is a "GHI PPO#" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 2119295000 . This is a "AMERIHEALTH ID#" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: P2666932 . This is a "OXFORD ID#" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 3C9223 . This is a "HEALTHNET ID#" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 3S8051 . This is a "EMPIRE BCBS (CLIFTON)" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 340020357 . This is a "RAILROAD MEDICARE ID#" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 3019010 . This is a "AETNA HMO#" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 7589391 . This is a "AETNA PPO#" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".