Provider Demographics
NPI:1255424099
Name:ZANGER, RON (MD)
Entity type:Individual
Prefix:DR
First Name:RON
Middle Name:
Last Name:ZANGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:
Practice Address - Street 1:1030 KINGS HWY N
Practice Address - Street 2:SUITE 310
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1907
Practice Address - Country:US
Practice Address - Phone:856-667-7266
Practice Address - Fax:856-779-9179
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04960400207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ110099694OtherRAILROAD MEDICARE
NJ142542OtherAMERIHEALTH PPO PABS
NJ010003881OtherAMERICHOICE
NJF08265OtherHEALTHNET
NJ0061785OtherAETNA USHEALTHCARE
NJ0812560-003OtherCIGNA
NJ2102774OtherCIGNA
NJ3399537OtherGHI
NJ82554OtherAMERIGROUP
NJ0083493000OtherAMERIHEALTH HMO
NJ14815OtherUNIVERSITY HEALTH PLAN
NJ1045105Medicaid
NJ1090703OtherHORIZON NJ HEALTH
NJ946163OtherUNITED HEALTH CARE
NJJS220OtherOXFORD
NJF08265OtherHEALTHNET
NJ2102774OtherCIGNA
B39321Medicare UPIN