Provider Demographics
NPI:1023428273
Name:ZAYAC, ADAM
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:ZAYAC
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 LITTLE ALBANY ST
Mailing Address - Street 2:EAST TOWER, 9TH FLOOR
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901
Mailing Address - Country:US
Mailing Address - Phone:732-235-2465
Mailing Address - Fax:732-448-7887
Practice Address - Street 1:200 LITTLE ALBANY ST
Practice Address - Street 2:EAST TOWER, 9TH FLOOR
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:732-235-2465
Practice Address - Fax:732-448-7887
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-28
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11020800207R00000X, 207RH0003X, 207RH0000X
NY290269207RH0003X, 207R00000X
RIMD16309207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology