Active NPI
Serena Ursula Zuppardo
- Peer Specialist
- Roselle, NJ
National Provider Identifier
1487337135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CPRS-50504
- Practice address
- 511 W 1St Ave Apt 4C
Roselle, NJ 07203-1024 - Phone
- (908) 884-7894
- NPI assigned
- Aug 9, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CPRS-50504 | NJ | Primary |
Addresses
Primary practice location
511 W 1St Ave Apt 4C
Roselle, NJ 07203-1024
Mailing address
511 W 1St Ave Apt 4C
Roselle, NJ 07203-1024
Phone (908) 884-7894
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPRS-50504 | NJ | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1487337135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 W 1ST AVE APT 4C",
"city": "ROSELLE",
"state": "NJ",
"postal_code": "072031024",
"telephone_number": "908-884-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 W 1ST AVE APT 4C",
"city": "ROSELLE",
"state": "NJ",
"postal_code": "072031024",
"telephone_number": "908-884-7894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUPPARDO",
"first_name": "SERENA",
"middle_name": "URSULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NJ",
"license": "CPRS-50504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roselle, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.