Provider Demographics
NPI:1992842959
Name:ZIA, ZAKIA (MD)
Entity Type:Individual
Prefix:MS
First Name:ZAKIA
Middle Name:
Last Name:ZIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CAPITAL WAY
Mailing Address - Street 2:STE 315
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-2519
Mailing Address - Country:US
Mailing Address - Phone:609-730-0010
Mailing Address - Fax:609-730-3939
Practice Address - Street 1:2 CAPITAL WAY
Practice Address - Street 2:STE 315
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-2519
Practice Address - Country:US
Practice Address - Phone:609-730-0010
Practice Address - Fax:609-730-3939
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02921400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0102790000OtherKEYSTONE
1085637OtherHORIZON NJ HEALTH
01000206001OtherAMERICHOICE
NJ0961604Medicaid
2K2061OtherHEALTHNET
0102790000OtherKEYSTONE
1085637OtherHORIZON NJ HEALTH
NJ449243Q41Medicare PIN