Active NPI
Jerome B Zeldis, MD
- Health Educator
- Princeton, NJ
National Provider Identifier
1144567686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- MA65020
- Practice address
- 151 Library PL
Princeton, NJ 08540-3019 - Phone
- (732) 672-5958
- Fax
- (908) 673-9001
- NPI assigned
- Jan 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | MA65020 | NJ | Primary |
| Health Educator | 174H00000X | 198021-1 | NY |
Addresses
Primary practice location
151 Library PL
Princeton, NJ 08540-3019
Mailing address
151 Library PL
Princeton, NJ 08540-3019
Phone (732) 672-5958
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA65020 | NJ | MD | Health Educator |
| 198021-1 | NY | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1144567686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 LIBRARY PL",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403019",
"telephone_number": "732-672-5958",
"fax_number": "908-673-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 LIBRARY PL",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403019",
"telephone_number": "732-672-5958",
"fax_number": "908-673-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELDIS",
"first_name": "JEROME",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-03",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NJ",
"license": "MA65020",
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "198021-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.