Provider Demographics
NPI:1326143405
Name:ZAPANTA MEDICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:ZAPANTA MEDICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENTE
Authorized Official - Middle Name:TRINIDAD
Authorized Official - Last Name:ZAPANTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-727-5114
Mailing Address - Street 1:340 ERNSTON RD
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859
Mailing Address - Country:US
Mailing Address - Phone:732-727-5114
Mailing Address - Fax:732-721-7221
Practice Address - Street 1:340 ERNSTON RD
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859
Practice Address - Country:US
Practice Address - Phone:732-727-5114
Practice Address - Fax:732-721-7221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ032797207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3638006Medicaid
C08996Medicare UPIN
NJ3638006Medicaid