Provider Demographics
NPI:1629102421
Name:ZEMEL, NATHAN (MD)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:ZEMEL
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 1:50 PARK PL
Mailing Address - Street 2:SUITE 1542
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-4308
Mailing Address - Country:US
Mailing Address - Phone:973-642-1034
Mailing Address - Fax:973-642-0538
Practice Address - Street 1:50 PARK PL
Practice Address - Street 2:SUITE 1542
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-4308
Practice Address - Country:US
Practice Address - Phone:973-642-1034
Practice Address - Fax:973-642-0538
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA45276208100000X
NY156355-1208100000X
PAMD043022E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1573705Medicare ID - Type Unspecified
NJE53135Medicare UPIN