Individual provider Active NPI

Halina Zaborniak, APN

  • Family Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1215288972
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00797100 Issued in NJ
Practice address
741 Broadway
Newark, NJ 07104
Phone
(201) 675-1900
Fax
(973) 676-1396
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00797100 NJ Primary

Addresses

Primary practice location

741 Broadway
Newark, NJ 07104

Mailing address

19 Savage Rd Apt A1
Denville, NJ 07834-1616
Phone (973) 590-6921

Other practice location 1

19 Savage Rd Apt A1
Denville, NJ 07834-1616
Phone (973) 590-6921

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530001143 NJ Practitioner - Nurse Practitioner 4789949462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Hudson Co Board of Chosen Freehold AdminGroup PAC ID 7810081288, 5 clinicians

Practice addresses (Care Compare)

595 County Ave
Secaucus, NJ 07094-2605
Phone (201) 369-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00797100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Community Health Centers, Inc CurrentSince May 1, 2018 Accepting new patients
Newark Community Health Centers, Inc. Current Accepting new patients
Hudson Co Board of Chosen Freehold Admin CurrentSince Jan 2, 2025 Accepting new patients
North Hudson Community Action Corporation Past Accepting new patients
North Hudson Community Action Corporation Past Accepting new patients

Locations

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

595 County Ave
Secaucus, NJ 07094
Phone (201) 369-5252

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1215288972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SAVAGE RD APT A1",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341616",
            "telephone_number": "973-590-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07104",
            "telephone_number": "201-675-1900",
            "fax_number": "973-676-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Savage Rd Apt A1",
            "address_purpose": "LOCATION",
            "city": "Denville",
            "state": "NJ",
            "postal_code": "078341616",
            "country_code": "US",
            "telephone_number": "973-590-6921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZABORNIAK",
        "first_name": "HALINA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00797100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.