Provider Demographics
NPI:1851714224
Name:ZENITH MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:ZENITH MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHADEROWFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-343-2683
Mailing Address - Street 1:2 IENTILE CT
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-3705
Mailing Address - Country:US
Mailing Address - Phone:732-343-2683
Mailing Address - Fax:609-662-0370
Practice Address - Street 1:2 IENTILE CT
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-3705
Practice Address - Country:US
Practice Address - Phone:732-343-2683
Practice Address - Fax:609-662-0370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD070287L2085R0202X
NY2483272085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH19757Medicare UPIN