Organization Active NPI

Dr Joel N. Zaba LTD

  • Exclusive Provider Organization
  • Virginia Beach, VA
National Provider Identifier
1275565269
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
0618000449 Issued in VA
Legal business name
DR JOEL N. ZABA LTD
Doing business as
Dr Joel N. Zaba LTD
Practice address
281 Independence Blvd
Pembroke One #105
Virginia Beach, VA 23462-2986
Phone
(757) 497-9575
Fax
(757) 497-1292
NPI assigned
Jul 7, 2006
Last updated
Aug 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Dr. Joel N Zaba, O.D.
Title
Owner
Phone
(757) 497-9575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 0618000449 VA Primary

Addresses

Primary practice location

281 Independence Blvd
Pembroke One #105
Virginia Beach, VA 23462-2986

Mailing address

1232 W Little Creek Rd
# 200
Norfolk, VA 23505-1952
Phone (757) 489-9656

Other identifiers 1

IdentifierTypeStateIssuer
009235531MedicaidVA

Other names 1

  • Dr Joel N. Zaba LTD Doing business as

National Provider Directory

National Provider Directory

Locations

1232 W Little Creek Rd
Ste 200
Norfolk, VA 23505
Phone (757) 497-9575

281 Independence Blvd
Ste 105
Virginia Beach, VA 23462
Phone (757) 497-9575

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1275565269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 W LITTLE CREEK RD",
            "address_2": "# 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235051952",
            "telephone_number": "757-489-9656",
            "fax_number": "757-423-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 INDEPENDENCE BLVD",
            "address_2": "PEMBROKE ONE #105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622986",
            "telephone_number": "757-497-9575",
            "fax_number": "757-497-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOEL N. ZABA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "ZABA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-497-9575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "VA",
            "license": "0618000449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009235531",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Joel N. Zaba LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.