Provider Demographics
NPI:1609107051
Name:NESTOR, ZARINA (MD)
Entity Type:Individual
Prefix:DR
First Name:ZARINA
Middle Name:
Last Name:NESTOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 OLD HOOK RD STE 26
Mailing Address - Street 2:
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-1368
Mailing Address - Country:US
Mailing Address - Phone:201-261-0821
Mailing Address - Fax:201-261-0823
Practice Address - Street 1:466 OLD HOOK RD STE 26
Practice Address - Street 2:
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1368
Practice Address - Country:US
Practice Address - Phone:201-261-0821
Practice Address - Fax:201-261-0823
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10955400207RP1001X
NY263205207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400153108Medicare PIN