Individual provider Active NPI

Cheryl Ann Ziemba, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Passaic, NJ
National Provider Identifier
1275798357
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA06085900 Issued in NJ
Practice address
394 Broadway Ste 100
Passaic, NJ 07055-1932
Phone
(973) 572-1035
Fax
(973) 547-7872
NPI assigned
Jul 28, 2008
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA06085900 NJ Primary

Addresses

Primary practice location

394 Broadway Ste 100
Passaic, NJ 07055-1932

Mailing address

PO Box 740021
Atlanta, GA 30374-0021
Phone (312) 352-1519

Other practice location 1

1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100
Phone (973) 831-3540

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110913000309 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0345259669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-NJ Physicians Group PCGroup PAC ID 3678005345, 10 clinicians

Practice addresses (Care Compare)

394 Broadway
Suite 100
Passaic, NJ 07055-1932
Phone (973) 572-1035

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-NJ Physicians Group PC CurrentSince Oct 24, 2024 Accepting new patients
State of New York Comptrollers Office Past Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Locations

1000 S Elmora Ave
Elizabeth, NJ 07202
Phone (908) 629-1265

394 Broadway
#100
Passaic, NJ 07055
Phone (973) 572-1035

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1275798357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740021",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740021",
            "telephone_number": "312-352-1519",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 BROADWAY STE 100",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070551932",
            "telephone_number": "973-572-1035",
            "fax_number": "973-547-7872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cedar Crest Village Dr",
            "address_purpose": "LOCATION",
            "city": "Pompton Plains",
            "state": "NJ",
            "postal_code": "074442100",
            "country_code": "US",
            "telephone_number": "973-831-3540",
            "fax_number": "973-831-3503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIEMBA",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA06085900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.