Active NPI
Jackie Zaffarese, M.S.P.T.
- Physical Therapist
- East Windsor, NJ
National Provider Identifier
1023182862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 400 US Highway 130
East Windsor, NJ 08520-2792 - Phone
- (609) 918-0600
- Fax
- (609) 918-0601
- NPI assigned
- Nov 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NJ | Primary |
Addresses
Primary practice location
400 US Highway 130
East Windsor, NJ 08520-2792
Mailing address
3 Oakmont CT
East Windsor, NJ 08520-2509
Phone (609) 947-0542
Other names 1
- Miss Jackie Jerolima
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QAD0846100 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zaffarese Physical Therapy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- East Windsor, NJ
- NPI 1760404735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023182862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 OAKMONT CT",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085202509",
"telephone_number": "609-947-0542",
"fax_number": "609-918-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 US HIGHWAY 130",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085202792",
"telephone_number": "609-918-0600",
"fax_number": "609-918-0601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAFFARESE",
"first_name": "JACKIE",
"name_prefix": "Mrs.",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACKIE",
"last_name": "JEROLIMA",
"prefix": "MISS",
"credential": "M.S.P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Windsor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.