Basic Information
Provider Information | |||||||||
NPI: | 1336123058 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | ZAMIR | ||||||||
FirstName: | ZAFAR | ||||||||
MiddleName: |   | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 2107 KLOCKNER RD | ||||||||
Address2: |   | ||||||||
City: | HAMILTON | ||||||||
State: | NJ | ||||||||
PostalCode: | 086903403 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6095861319 | ||||||||
FaxNumber: | 6095861468 | ||||||||
Practice Location | |||||||||
Address1: | 2107 KLOCKNER RD | ||||||||
Address2: |   | ||||||||
City: | HAMILTON | ||||||||
State: | NJ | ||||||||
PostalCode: | 086903403 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6095861319 | ||||||||
FaxNumber: | 6095861468 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 12/06/2005 | ||||||||
LastUpdateDate: | 12/18/2019 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 12/18/2019 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 01083029A | IN | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | 174400000X | 25MA06653900 | NJ | N |   | Other Service Providers | Specialist |   |
ID Information
ID | Type | State | Issuer | Description | 84713 | 01 | NJ | AMERICAID | OTHER | 1066208 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 1323335 | 01 | NJ | FIRST HEALTH | OTHER | PO1804107 | 01 | PA | RAILROAD MEDICARE | OTHER | 0521635000 | 01 | NJ | AMERIHEALTH HMO | OTHER | 222233588 | 01 | NJ | HORIZON BC/BS | OTHER | 559548FLT | 01 | PA | MEDICARE | OTHER | 91-000217300 | 01 | NJ | AMERICHOICE | OTHER | 0007003430001 | 01 | NJ | ONE HEALTH PLAN | OTHER | 1032510700001 | 05 | PA |   | MEDICAID | 262832 | 01 | NJ | AMERIHEALTH | OTHER | 7419406 | 05 | NJ |   | MEDICAID | 919163 | 01 | NJ | AETNA HMO | OTHER | 9818963-004 | 01 | NJ | CIGNA | OTHER | 1K6858 | 01 | NJ | HEALTHNET | OTHER | 2499433 | 01 | NH | GHI | OTHER | P798256 | 01 | NJ | OXFORD | OTHER | 149399 | 01 | NJ | CHN | OTHER | 222233588 | 01 | NJ | AMERICARE | OTHER | 5836587 | 01 | NJ | AETNA HMO | OTHER | 58466 | 01 | NJ | LOCAL 825 PPO | OTHER |