Provider Demographics
NPI:1467553917
Name:ZACCARIA, FRANK V (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:V
Last Name:ZACCARIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-2212
Mailing Address - Country:US
Mailing Address - Phone:201-438-2404
Mailing Address - Fax:201-438-5739
Practice Address - Street 1:360 RIDGE RD
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-2212
Practice Address - Country:US
Practice Address - Phone:201-438-2404
Practice Address - Fax:201-438-5739
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00131700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0936093OtherAETNA
NJ1076624OtherNJ HEALTH HORIZON HMO
NJ1163108Medicaid
NJ4066261OtherCIGNA HEALTH CARE
NJ460651OtherAMERIAHEALTH
NJFZOX3W0210OtherEMPIRE BLUE CROSS BLUE SH
NJ8211-161OtherGHI
NJ1006489OtherAMERICAN SPECIALTY HEALTH
NJP538623OtherOXFORD
NJNJ01317OtherGUARDIAN HEALTH NET
NJ460651OtherAMERIAHEALTH