Individual provider Active NPI

Brenda Leslie Ziegler, D.O.

  • Family Medicine Physician
  • Rockaway, NJ
National Provider Identifier
1073581419
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB06311200 Issued in NJ
Practice address
333 Mount Hope Ave
Rockaway Family Medicine Associates
Rockaway, NJ 07866-1645
Phone
(973) 895-6601
Fax
(973) 895-5324
NPI assigned
Mar 10, 2006
Last updated
Jun 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB06311200 NJ Primary

Addresses

Primary practice location

333 Mount Hope Ave
Rockaway Family Medicine Associates
Rockaway, NJ 07866-1645

Mailing address

4 Oneida Ave
Rockaway, NJ 07866-1706
Phone (973) 627-3576

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB06311200NJMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1073581419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ONEIDA AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661706",
            "telephone_number": "973-627-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MOUNT HOPE AVE",
            "address_2": "ROCKAWAY FAMILY MEDICINE ASSOCIATES",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661645",
            "telephone_number": "973-895-6601",
            "fax_number": "973-895-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "BRENDA",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06311200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.