Individual provider Active NPI

Andrew F Zmuda, PHD

  • Marriage & Family Therapist
  • Sewell, NJ
National Provider Identifier
1386986305
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FI00166900 Issued in NJ
Practice address
123 Egg Harbor Rd
Suite 703
Sewell, NJ 08080-9406
Phone
(609) 271-6582
NPI assigned
Mar 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000564 PA
Marriage & Family Therapist 106H00000X 37FI00166900 NJ Primary

Addresses

Primary practice location

123 Egg Harbor Rd
Suite 703
Sewell, NJ 08080-9406

Mailing address

123 Egg Harbor Rd Ste 703
Sewell, NJ 08080-9410
Phone (609) 271-6582

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andy@generacegroup.net Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206001660 NJ Practitioner - Marriage and Family Therapist 9335679372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 Route 168
Suite E2
Blackwood, NJ 08012-3208
Phone (609) 271-6582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37FI00166900NJMDMarriage & Family Therapist
MF000564PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Generace Group LLC Marriage & Family Therapist CurrentSince Dec 10, 2024 Accepting new patients

Locations

900 Route 168
Ste E2
Blackwood, NJ 08012
Phone (609) 271-6582

123 Egg Harbor Rd
Ste 703
Sewell, NJ 08080
Phone (608) 271-6582

Organizations & group practices 1

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": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1386986305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD STE 703",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809410",
            "telephone_number": "609-271-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD",
            "address_2": "SUITE 703",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809406",
            "telephone_number": "609-271-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZMUDA",
        "first_name": "ANDREW",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000564",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00166900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andy@generacegroup.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "123 Egg Harbor Rd",
            "address_2": "Suite 703",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080809406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.