Active NPI
Diana Zabarko OD LLC
- Primary Care Clinic/Center
- Wayne, NJ
National Provider Identifier
1336575158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 27OA00583800
- Legal business name
- DIANA ZABARKO OD LLC
- Practice address
- 1690 Ratzer Rd
Wayne, NJ 07470-2436 - Phone
- (917) 327-3811
- Fax
- (973) 904-3339
- NPI assigned
- Sep 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Zabarko
- Title
- Optometrist
- Phone
- (201) 797-2066
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 27OA00583800 | NJ | Primary |
Addresses
Primary practice location
1690 Ratzer Rd
Wayne, NJ 07470-2436
Mailing address
286 Market St
Elmwood Park, NJ 07407-2014
Phone (201) 773-8885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9131809 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
506 Hamburg Tpke
Ste 207
Wayne, NJ 07470
Phone (862) 336-1990
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Union City, NJ
- NPI 1073611018
-
- General Practice Dentistry
- Wayne, NJ
- NPI 1013931286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393286400000",
"number": "1336575158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 MARKET ST",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "074072014",
"telephone_number": "201-773-8885",
"fax_number": "201-797-2066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 RATZER RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702436",
"telephone_number": "917-327-3811",
"fax_number": "973-904-3339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANA ZABARKO OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-25",
"last_updated": "2014-02-25",
"status": "A",
"authorized_official_last_name": "ZABARKO",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "201-797-2066"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NJ",
"license": "27OA00583800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9131809",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.