Provider Demographics
NPI:1558456137
Name:ZUBERI, JAMSHED A (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMSHED
Middle Name:A
Last Name:ZUBERI
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 1:703 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-2621
Mailing Address - Country:US
Mailing Address - Phone:304-906-8658
Mailing Address - Fax:928-832-7762
Practice Address - Street 1:703 MAIN ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2621
Practice Address - Country:US
Practice Address - Phone:304-906-8658
Practice Address - Fax:928-832-7762
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA092202002086S0127X, 2086S0127X
WV212022086S0127X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1809899000Medicaid
MD403305100Medicaid
WVZU4121312Medicare PIN
H97731Medicare UPIN
PA1008646030001Medicaid
WVP00087342OtherRAILROAD MEDICARE
NC7614979Medicaid
OH2436966Medicaid