Provider Demographics
NPI:1841527355
Name:ZUFALL HEALTH CENTER,INC
Entity type:Organization
Organization Name:ZUFALL HEALTH CENTER,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-328-9100
Mailing Address - Street 1:4 ATNO AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-3802
Mailing Address - Country:US
Mailing Address - Phone:973-267-0002
Mailing Address - Fax:973-267-7928
Practice Address - Street 1:4 ATNO AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-3802
Practice Address - Country:US
Practice Address - Phone:973-267-0002
Practice Address - Fax:973-267-7928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-05
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ24343261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0217417Medicaid
NJ311891Medicare Oscar/Certification