Provider Demographics
NPI:1922103175
Name:ZERBO SPINE, PA
Entity Type:Organization
Organization Name:ZERBO SPINE, PA
Other - Org Name:LOWE GREENWOOD ZERBO SPINAL ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZERBO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-601-6363
Mailing Address - Street 1:1999 NEW RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1060
Mailing Address - Country:US
Mailing Address - Phone:609-601-6363
Mailing Address - Fax:609-601-6364
Practice Address - Street 1:1999 NEW RD
Practice Address - Street 2:SUITE B
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1060
Practice Address - Country:US
Practice Address - Phone:609-601-6363
Practice Address - Fax:609-601-6364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9053409Medicaid
NJ9053409Medicaid