Provider Demographics
NPI:1639252182
Name:ZHENG, TIM M (MD)
Entity Type:Individual
Prefix:
First Name:TIM
Middle Name:M
Last Name:ZHENG
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:PO BOX 22581 SUITE 300
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-2581
Mailing Address - Country:US
Mailing Address - Phone:610-482-4795
Mailing Address - Fax:856-528-3117
Practice Address - Street 1:450 CRESSON BLVD
Practice Address - Street 2:SUITE 307
Practice Address - City:OAKS
Practice Address - State:PA
Practice Address - Zip Code:19456-1109
Practice Address - Country:US
Practice Address - Phone:484-831-0200
Practice Address - Fax:484-831-0209
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD072996L207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H49537Medicare UPIN
013903Medicare ID - Type Unspecified
PA136923Medicare PIN