Provider Demographics
NPI:1326159328
Name:ZARETSKY, JAY ROSS (MD)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:ROSS
Last Name:ZARETSKY
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 1:49 WINDSOR LN
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-2401
Mailing Address - Country:US
Mailing Address - Phone:824-233-0600
Mailing Address - Fax:
Practice Address - Street 1:611 RIVER DR
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-1325
Practice Address - Country:US
Practice Address - Phone:973-279-2323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1796071207X00000X
NJ25MA10338600207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA002032974OtherHIGHMARK
PA1021313630001Medicaid
PA4556537OtherAETNA
NY01725846Medicaid
PA823099OtherFIRST PRIORITY HEALTH
PA116964OtherGEISINGER
PA50077925OtherCBC
PA116964OtherGEISINGER
PA50077925OtherCBC
PA823099OtherFIRST PRIORITY HEALTH