Provider Demographics
NPI:1174635502
Name:CHEN, ZENG-SHAN (MD)
Entity Type:Individual
Prefix:MR
First Name:ZENG-SHAN
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 ROUTE 46 WEST
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2158
Mailing Address - Country:US
Mailing Address - Phone:973-299-0098
Mailing Address - Fax:973-299-0916
Practice Address - Street 1:1222 ROUTE 46 WEST
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2158
Practice Address - Country:US
Practice Address - Phone:973-299-0098
Practice Address - Fax:973-299-0916
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03207700208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6464408Medicaid
C62870Medicare UPIN
NJ6464408Medicaid