Individual provider Active NPI

Kenneth Zierer, M.D.

  • Gastroenterology Physician
  • Rutherford, NJ
National Provider Identifier
1417978883
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA5838900 Issued in NJ
Practice address
71 Union Ave Ste 201
Rutherford, NJ 07070-1272
Phone
(201) 842-0020
Fax
(201) 842-0010
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA5838900 NJ Primary

Addresses

Primary practice location

71 Union Ave Ste 201
Rutherford, NJ 07070-1272

Mailing address

1130 McBride Ave FL 3
Woodland Park, NJ 07424-3806
Phone (973) 812-1400

Other practice location 1

925 Clifton Ave
Clifton, NJ 07013-2724
Phone (973) 458-0408

Other identifiers 1

IdentifierTypeStateIssuer
6956602MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000415 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 3476576646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Rutgers New Jersey Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of New Jersey LLCGroup PAC ID 4284706656, 78 clinicians

Practice addresses (Care Compare)

301 Lakehurst Rd
Toms River, NJ 08755-7335
Phone (732) 281-1590

71 Union Ave
Suite 201
Rutherford, NJ 07070-1272
Phone (201) 842-0020

925 Clifton Ave
Clifton, NJ 07013-2724
Phone (973) 458-0408

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.42 of 100Reported as individual
Quality
60.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy70
Upper gastrointestinal (GI) endoscopy for acid reflux60

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHMG - United Medical CurrentSince Jul 5, 2021 Accepting new patients
Gastroenterology Associates of New Jersey, LLC Gastroenterology CurrentSince Jan 1, 2015 Accepting new patients

Locations

988 Broadway
Ste 201
Bayonne, NJ 07002
Phone (201) 339-6111

925 Clifton Ave
Ste 100
Clifton, NJ 07013
Phone (973) 458-0408

533 Lexington Ave
Clifton, NJ 07011
Phone (973) 546-6844

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

925 Clifton Ave
Ste 101
Clifton, NJ 07013
Phone (973) 458-0408

612 Rutherford Ave
Lyndhurst, NJ 07071
Phone (200) 460-0063

71 Union Ave
Ste 201
Rutherford, NJ 07070
Phone (201) 842-0020

71 Union Ave
Rutherford, NJ 07070
Phone (201) 842-0020

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-7515

Interoperability endpoints

  • Direct secure messaging: kenneth.zierer@ganj.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1417978883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 MCBRIDE AVE FL 3",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243806",
            "telephone_number": "973-812-1400",
            "fax_number": "973-812-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 UNION AVE STE 201",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701272",
            "telephone_number": "201-842-0020",
            "fax_number": "201-842-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Clifton Ave",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070132724",
            "country_code": "US",
            "telephone_number": "973-458-0408",
            "fax_number": "973-405-6564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIERER",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA5838900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6956602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.