Mark Zhukov

Primary specialty

OpticianTaxonomy code 156FX1800X

License

31TD00426800 Issued in NJ

Practice address

300 Wootton St
Boonton, NJ 07005-1925

Phone

(973) 299-1730

Fax

(973) 299-1733

NPI assigned

Jul 3, 2026

Last updated

Jul 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1783036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1134046758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 RUTGERS LN",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WOOTTON ST",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051925",
            "telephone_number": "973-299-1730",
            "fax_number": "973-299-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHUKOV",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-03",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00426800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evamaria Wyssling-Green, OPTICIAN
• Jenna Yacoub
• Marie Chun G. Yu, BSN-RN/PRESIDENT
• Caitlin N Zarro, MA, LPC
• Aiza Zeerak
• Catherine Zouvelekis, LAC
• Mary Ellen Zung, BA, CHC

• Optician in Boonton, NJ
• Providers in Boonton, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.