Active NPI
Keri L Zyskowski, NCTMB
- Contractor
- Tinton Falls, NJ
National Provider Identifier
1164682407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 410168-00
- Practice address
- 70 Diane Dr
Tinton Falls, NJ 07753-7950 - Phone
- (908) 208-9091
- NPI assigned
- Jun 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 410168-00 | NJ | Primary |
Addresses
Primary practice location
70 Diane Dr
Tinton Falls, NJ 07753-7950
Mailing address
70 Diane Dr
Tinton Falls, NJ 07753-7950
Phone (908) 208-9091
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 410168-00 | NJ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1164682407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 DIANE DR",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077537950",
"telephone_number": "908-208-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 DIANE DR",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077537950",
"telephone_number": "908-208-9091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZYSKOWSKI",
"first_name": "KERI",
"middle_name": "L",
"credential": "NCTMB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NJ",
"license": "410168-00",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinton Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.