Provider Demographics
NPI:1003128513
Name:ZIPKIN, MARTIN RICHARD
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:RICHARD
Last Name:ZIPKIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MARTIN
Other - Middle Name:
Other - Last Name:ZIPKIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:15 HAMILTON DR
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2710
Mailing Address - Country:US
Mailing Address - Phone:732-221-2638
Mailing Address - Fax:
Practice Address - Street 1:15 HAMILTON DR
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2710
Practice Address - Country:US
Practice Address - Phone:732-613-6048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMCO2743111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation