NPIMap

Individual provider Active NPI

Michael R Zaboski, M.D.

  • Internal Medicine Physician
  • Elizabeth, NJ
National Provider Identifier
1043302946
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05507700 Issued in NJ
Practice address
240 Williamson St
Suite 204
Elizabeth, NJ 07202-3625
Phone
(908) 355-8877
Fax
(908) 355-0017
NPI assigned
Sep 28, 2006
Last updated
Sep 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA05597700 NJ
Internal Medicine Physician 207R00000X 25MA05507700 NJ Primary

Addresses

Primary practice location

240 Williamson St
Suite 204
Elizabeth, NJ 07202-3625

Mailing address

240 Williamson St
Suite 204
Elizabeth, NJ 07202-3674
Phone (908) 355-8877

Other identifiers 1

IdentifierTypeStateIssuer
4989309MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050304000271 NJ Practitioner - Internal Medicine 6709830532 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians
NJ Med, PAGroup PAC ID 4385779818, 6 clinicians

Practice addresses (Care Compare)

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422

240 Williamson St
Suite 204
Elizabeth, NJ 07202-3671
Phone (908) 355-8877

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05597700NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Georgia Inc Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Trinitas Physicians Practice, LLC Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
NJ Med PA Current Accepting new patients
NJ Med, PA Internal Medicine CurrentSince Aug 1, 1990 Accepting new patients
Nes Georgia Inc Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Emergency Medicine CurrentSince Mar 24, 2022 Accepting new patients
Cardiology Services of Elizabeth Past Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

240 Williamson St
Ste 204
Elizabeth, NJ 07202
Phone (908) 355-8877

655 E Jersey St
Elizabethport, NJ 07206
Phone (908) 994-7925

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

Organizations & group practices 8

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1043302946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST",
            "address_2": "SUITE 204",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023674",
            "telephone_number": "908-355-8877",
            "fax_number": "908-355-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST",
            "address_2": "SUITE 204",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023625",
            "telephone_number": "908-355-8877",
            "fax_number": "908-355-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABOSKI",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA05597700",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05507700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4989309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.