Individual provider Active NPI

Jerrold R Zeitels, MD

  • Plastic Surgery Physician
  • Springfield, NJ
National Provider Identifier
1457371957
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA04979000 Issued in NJ
Practice address
955 S Springfield Ave
Suite 105 BLDG. a
Springfield, NJ 07081-3570
Phone
(908) 654-6540
Fax
(908) 654-6504
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA04979000 NJ Primary

Addresses

Primary practice location

955 S Springfield Ave
Suite 105 BLDG. a
Springfield, NJ 07081-3570

Mailing address

955 S Springfield Ave
Suite 105 BLDG. a
Springfield, NJ 07081-3570
Phone (908) 654-6540

Other identifiers 1

IdentifierTypeStateIssuer
0977209MedicaidNJ

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
I20051012000823 NJ Practitioner - Plastic and Reconstructive Surgery 8123043791 Practice locations: Springfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Chicago, Pritzker School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

955 S Springfield Ave
Springfield, NJ 07081-3574
Phone (908) 654-6540

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision16
Removal of tissue374
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth11
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westfield Plastic Surgical Center LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jzeitels98735@epicdirect.rwjbh.org

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.

Hospital & facility affiliations 3

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1457371957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 S SPRINGFIELD AVE",
            "address_2": "SUITE 105 BLDG. A",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813570",
            "telephone_number": "908-654-6540",
            "fax_number": "908-654-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S SPRINGFIELD AVE",
            "address_2": "SUITE 105 BLDG. A",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813570",
            "telephone_number": "908-654-6540",
            "fax_number": "908-654-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEITELS",
        "first_name": "JERROLD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA04979000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0977209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.