Individual provider Active NPI

Zunera Yaqub, M.D.

  • Family Medicine Physician
  • Montville, NJ
National Provider Identifier
1285836296
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08858100 Issued in NJ
Practice address
350 Main Rd
Suite 103
Montville, NJ 07045-9222
Phone
(973) 657-8220
Fax
(973) 402-4806
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08858100 NJ Primary

Addresses

Primary practice location

350 Main Rd
Suite 103
Montville, NJ 07045-9222

Mailing address

PO Box 95000
Philadelphia, PA 19195-7550
Phone (844) 362-1735

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
I20120731000166 NJ Practitioner - Family Practice 4789772922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Health Associates LLCGroup PAC ID 0840283008, 45 clinicians

Practice addresses (Care Compare)

272 Route 206 N
Suite 6
Andover, NJ 07821-3949
Phone (973) 347-2273

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08858100NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC Family Medicine CurrentSince Aug 1, 2012 Accepting new patients
Primary Care Partners, LLC CurrentSince Aug 1, 2012 Accepting new patients
Premier Health Associates LLC CurrentSince Aug 3, 2020 Accepting new patients
Premier Health Associates, LLC CurrentSince Aug 3, 2020 Accepting new patients

Locations

272 Route 206 N
Ste 6
Byram Township, NJ 07821
Phone (973) 347-2273

350 Main Rd
Ste 103
Montville, NJ 07045
Phone (850) 766-4728

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

123 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 579-1000

532 Lafayette Rd
Ste 300
Sparta, NJ 07871
Phone (973) 940-0423

Interoperability endpoints

  • Direct secure messaging: zunerayaqub@premiernj.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJHBA

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1285836296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "976-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MAIN RD",
            "address_2": "SUITE 103",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459222",
            "telephone_number": "973-657-8220",
            "fax_number": "973-402-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAQUB",
        "first_name": "ZUNERA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08858100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

Verify at the official NPI Registry.