Active NPI
Ronald A Zevin, MD
- Gynecology Physician
- Irvington, NJ
National Provider Identifier
1386716389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 25MA02106400
- Practice address
- 50 Union Ave
Suite 303
Irvington, NJ 07111-3262 - Phone
- (973) 372-8844
- Fax
- (973) 372-6687
- NPI assigned
- Nov 14, 2006
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 25MA02106400 | NJ | Primary |
Addresses
Primary practice location
50 Union Ave
Suite 303
Irvington, NJ 07111-3262
Mailing address
50 Union Ave
Suite 303
Irvington, NJ 07111-3262
Phone (973) 372-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2695103 | Medicaid | NJ |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1386716389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 UNION AVE",
"address_2": "SUITE 303",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071113262",
"telephone_number": "973-372-8844",
"fax_number": "973-372-6687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 UNION AVE",
"address_2": "SUITE 303",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071113262",
"telephone_number": "973-372-8844",
"fax_number": "973-372-6687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEVIN",
"first_name": "RONALD",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NJ",
"license": "25MA02106400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2695103",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.