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
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X01083029AINY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
174400000X25MA06653900NJN Other Service ProvidersSpecialist 

ID Information
IDTypeStateIssuerDescription
8471301NJAMERICAIDOTHER
106620801NJHORIZON NJ HEALTHOTHER
132333501NJFIRST HEALTHOTHER
PO180410701PARAILROAD MEDICAREOTHER
052163500001NJAMERIHEALTH HMOOTHER
22223358801NJHORIZON BC/BSOTHER
559548FLT01PAMEDICAREOTHER
91-00021730001NJAMERICHOICEOTHER
000700343000101NJONE HEALTH PLANOTHER
103251070000105PA MEDICAID
26283201NJAMERIHEALTHOTHER
741940605NJ MEDICAID
91916301NJAETNA HMOOTHER
9818963-00401NJCIGNAOTHER
1K685801NJHEALTHNETOTHER
249943301NHGHIOTHER
P79825601NJOXFORDOTHER
14939901NJCHNOTHER
22223358801NJAMERICAREOTHER
583658701NJAETNA HMOOTHER
5846601NJLOCAL 825 PPOOTHER


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