Provider Demographics
NPI:1023159233
Name:DR. MERAJUDDIN ZAKI MD
Entity type:Organization
Organization Name:DR. MERAJUDDIN ZAKI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MERAJUDDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-240-0033
Mailing Address - Street 1:1163 ROUTE 37 W STE D2
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-4975
Mailing Address - Country:US
Mailing Address - Phone:732-240-0033
Mailing Address - Fax:
Practice Address - Street 1:1163 ROUTE 37 W STE D2
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-4975
Practice Address - Country:US
Practice Address - Phone:732-240-0033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA55463207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6068201Medicaid
NJ6068201Medicaid
NJF41356Medicare UPIN