Individual provider Active NPI

Christopher W. Zukowski, DO

  • Sports Medicine (Family Medicine) Physician
  • Lakewood, NJ
National Provider Identifier
1407826746
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
25MB03972000 Issued in NJ
Practice address
150 Airport Road
Suite 100
Lakewood, NJ 08701
Phone
(732) 942-9550
Fax
(732) 942-9554
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 25MB03972000 NJ Primary

Addresses

Primary practice location

150 Airport Road
Suite 100
Lakewood, NJ 08701

Mailing address

150 Airport Road
Suite 100
Lakewood, NJ 08701
Phone (732) 942-9550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Group PC CurrentSince Oct 1, 2017 Accepting new patients
Ocean County Family Care, P.a. Current Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC PastSince Apr 6, 2021 Accepting new patients

Locations

2125 Route 88 E
Brick, NJ 08724
Phone (732) 892-4548

27 S Cooks Bridge Rd
Ste 1-4
Jackson, NJ 08527
Phone (732) 364-3881

27 S Cooks Bridge Rd
Ste 2-2
Jackson, NJ 08527
Phone (732) 364-3881

9 Mule Rd
Ste 11
Toms River, NJ 08755
Phone (732) 797-1535

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Interoperability endpoints

  • Direct secure messaging: christopher.zukowski@direct.hackensackmeridian.org

Organizations & group practices 3

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1407826746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 AIRPORT ROAD",
            "address_2": "SUITE 100",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-942-9550",
            "fax_number": "732-942-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AIRPORT ROAD",
            "address_2": "SUITE 100",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-942-9550",
            "fax_number": "732-942-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUKOWSKI",
        "first_name": "CHRISTOPHER",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MB03972000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.