Zisalo Wancier, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA02929800 Issued in NJ

Practice address

516 Valley Brook Ave
Lyndhurst, NJ 07071-1930

Phone

(201) 935-3322

Fax

(201) 935-9196

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1963

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Behavioral Healthcare, Inc.Group PAC ID 4486640653, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Behavioral Healthcare, Inc.

  • Mental Health Counselor
  • Lyndhurst, NJ
  • NPI 1134176720
  Medicare reassignment Care Compare group NPD
• Palisades House Physicians, PC

  • Pulmonary Disease Physician
  • North Bergen, NJ
  • NPI 1689603227
  NPD (past)
• Palisades Medical Associates LLC

  • Internal Medicine Physician
  • North Bergen, NJ
  • NPI 1558475087
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205962297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 VALLEY BROOK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711930",
            "telephone_number": "201-935-3322",
            "fax_number": "201-935-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 VALLEY BROOK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711930",
            "telephone_number": "201-935-3322",
            "fax_number": "201-935-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANCIER",
        "first_name": "ZISALO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA02929800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Vieira, BCBA
• Voice & Value Psychotherapy PC
• Soheila Vossough, M.D.
• Janette M Wahba, MD
• Walgreen Co
• Tevin Weems
• Tashia Williams, DNP
• Omar Wilson
• Albert C Wong, D.D.S.
• Lee Ming Wong, O.D.

• Psychiatry Physician in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.