Individual provider Active NPI

Diana S Zabarko, OD

  • Optometrist
  • Union City, NJ
National Provider Identifier
1073611018
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27T000124001 Issued in NJ
Practice address
2703 Bergenline Ave
Union City, NJ 07087-3721
Phone
(201) 866-2011
Fax
(201) 866-2012
NPI assigned
Sep 21, 2006
Last updated
Feb 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27TO00124001 NJ
Optometrist 152W00000X 27T000124001 NJ Primary

Addresses

Primary practice location

2703 Bergenline Ave
Union City, NJ 07087-3721

Mailing address

1690 Ratzer Rd
Wayne, NJ 07470
Phone (917) 327-3811

Other identifiers 1

IdentifierTypeStateIssuer
9131809MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909000083 NJ Practitioner - Optometry 9537135736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

506 Hamburg Tpke
Suite 207
Wayne, NJ 07470-2069
Phone (862) 336-1990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27T000124001NJMDOptometrist
27TO00124001NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Zabarko OD LLC CurrentSince Oct 8, 2013 Accepting new patients

Locations

506 Hamburg Tpke
Ste 207
Wayne, NJ 07470
Phone (862) 336-1990

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1073611018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 RATZER RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "917-327-3811",
            "fax_number": "973-904-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873721",
            "telephone_number": "201-866-2011",
            "fax_number": "201-866-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABARKO",
        "first_name": "DIANA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00124001",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27T000124001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9131809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.