Active NPI
Brian Zack, M.D.
- Family Medicine Physician
- Princeton, NJ
National Provider Identifier
1346444106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA37498
- Practice address
- 14 Hageman LN
Princeton, NJ 08540-7547 - Phone
- (609) 306-6256
- Fax
- (609) 924-8354
- NPI assigned
- Jun 13, 2007
- Last updated
- Feb 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA37498 | NJ | Primary |
Addresses
Primary practice location
14 Hageman LN
Princeton, NJ 08540-7547
Mailing address
14 Hageman LN
Princeton, NJ 08540-7547
Phone (609) 306-6256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA37498 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1346444106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 HAGEMAN LN",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085407547",
"telephone_number": "609-306-6256",
"fax_number": "609-924-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 HAGEMAN LN",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085407547",
"telephone_number": "609-306-6256",
"fax_number": "609-924-8354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACK",
"first_name": "BRIAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA37498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.