Provider Demographics
NPI:1801829239
Name:RODRIGUEZ-ZIERER, MARIA EVELYN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA EVELYN
Middle Name:
Last Name:RODRIGUEZ-ZIERER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EVELYN
Other - Middle Name:
Other - Last Name:RODRIGUEZ-ZIERER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:22 MADISON AVE
Mailing Address - Street 2:3RD FLOOR SUITE 3
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2734
Mailing Address - Country:US
Mailing Address - Phone:201-291-9797
Mailing Address - Fax:201-291-9798
Practice Address - Street 1:22 MADISON AVE
Practice Address - Street 2:3RD FLOOR SUITE 3
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2734
Practice Address - Country:US
Practice Address - Phone:201-291-9797
Practice Address - Fax:201-291-9798
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05252700208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4644301Medicaid