Provider Demographics
NPI:1912760299
Name:ZIBA, ZARANIKA (APN)
Entity Type:Individual
Prefix:
First Name:ZARANIKA
Middle Name:
Last Name:ZIBA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SPRINGFIELD AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-4055
Mailing Address - Country:US
Mailing Address - Phone:908-273-1999
Mailing Address - Fax:908-273-1332
Practice Address - Street 1:1 SPRINGFIELD AVE STE 2A
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-4055
Practice Address - Country:US
Practice Address - Phone:908-273-1999
Practice Address - Fax:908-273-1332
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14994200363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty