NPIMap

Individual provider Active NPI

Mark D Zamerowski, PT

  • Physical Therapist
  • Turnersville, NJ
National Provider Identifier
1356396949
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00700300 Issued in NJ
Practice address
860 Route 168
Suite 100
Turnersville, NJ 08012-3215
Phone
(856) 228-8600
Fax
(856) 228-9310
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00700300 NJ Primary
Physical Therapist 225100000X PT010623L PA

Addresses

Primary practice location

860 Route 168
Suite 100
Turnersville, NJ 08012-3215

Mailing address

860 Route 168
Suite 100
Turnersville, NJ 08012-3215
Phone (856) 228-8600

Other identifiers 2

IdentifierTypeStateIssuer
143586OtherNJMEDICARE PTAN
152995OtherPAMEDICARE PTAN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
20939MDMDPharmacist
40QA00700300NJMDPhysical Therapist
PT010623LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist PastSince Sep 1, 2007 Accepting new patients
Pma Medical Specialists Physical Therapist Past Accepting new patients
Foulk Road Physical Therapy Physical Therapist Past Accepting new patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1356396949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 ROUTE 168",
            "address_2": "SUITE 100",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123215",
            "telephone_number": "856-228-8600",
            "fax_number": "856-228-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 ROUTE 168",
            "address_2": "SUITE 100",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123215",
            "telephone_number": "856-228-8600",
            "fax_number": "856-228-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMEROWSKI",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00700300",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010623L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "143586",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "152995",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.