Active NPI
Sandra Zavala, NP
- Family Nurse Practitioner
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ15276800
- Practice address
- 200 Grand Ave Ste 201
Englewood, NJ 07631-4363 - Phone
- (201) 944-3800
- NPI assigned
- Apr 1, 2025
- Sex
- Female
- 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 Nurse Practitioner | 363LF0000X | 26NJ15276800 | NJ | Primary |
Addresses
Primary practice location
200 Grand Ave Ste 201
Englewood, NJ 07631-4363
Mailing address
166 Lake Dr E
Wayne, NJ 07470-4255
Phone (347) 749-6306
Other practice location 1
1777 Hamburg Tpke
Wayne, NJ 07470-5211
Phone (973) 833-5058
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ15276800 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson MD Group | Single Specialty | Current | Accepting new patients |
| David W. Lee MD PA | Single Specialty | Past | Accepting new patients |
Locations
200 Grand Ave
Ste 201
Englewood, NJ 07631
Phone (201) 944-3800
1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011
784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999
9 Hospital Dr
Ste A22
Toms River, NJ 08755
Phone (973) 429-1300
1777 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 831-1800
443 Northfield Ave
West Orange, NJ 07052
Phone (973) 324-0103
Organizations & group practices 2
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": "1743465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1376346478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 LAKE DR E",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074704255",
"telephone_number": "347-749-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GRAND AVE STE 201",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314363",
"telephone_number": "201-944-3800"
}
],
"practiceLocations": [
{
"address_1": "1777 Hamburg Tpke",
"address_purpose": "LOCATION",
"city": "Wayne",
"state": "NJ",
"postal_code": "074705211",
"country_code": "US",
"telephone_number": "973-833-5058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAVALA",
"first_name": "SANDRA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-01",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15276800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.