Provider Demographics
NPI:1265541015
Name:ZILBERMAN, NINA (MD)
Entity type:Individual
Prefix:MRS
First Name:NINA
Middle Name:
Last Name:ZILBERMAN
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:PO BOX 1546
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632
Mailing Address - Country:US
Mailing Address - Phone:201-945-6500
Mailing Address - Fax:201-945-1157
Practice Address - Street 1:336 E 86TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-4615
Practice Address - Country:US
Practice Address - Phone:212-772-3627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06538100207Q00000X
NY213266207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8436801Medicaid
NJ5D5381OtherEMPIRE NY
NJ059208DDKMedicare PIN
NJ5715144OtherGHI
G86607Medicare UPIN