Mark Zukoff, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA05434000 Issued in NJ

Practice address

1450 Route 22
Mountainside, NJ 07092-2619

Phone

(908) 233-2020

Fax

(908) 233-9322

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• New Jersey Healthcare Specialists PC

  • Anesthesiology Physician
  • Hackensack, NJ
  • NPI 1174585780
  Medicare reassignment NPD
• Ambulatory Pain Management, LLC

  • Pain Clinic/Center
  • Mountainside, NJ
  • NPI 1184681983
  NPD (past)
• Frontier Anesthesia, LLC

  • Anesthesiology Physician
  • Edison, NJ
  • NPI 1922219773
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1548227754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ROUTE 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922619",
            "telephone_number": "908-233-2020",
            "fax_number": "908-233-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ROUTE 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922619",
            "telephone_number": "908-233-2020",
            "fax_number": "908-233-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUKOFF",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA05434000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hannah Yanow, M.D.
• Donna Michele Yarem, PT
• Michelle L Zaffuto
• Zayl Staffing and Business Consulting
• Whitney Jeanne Zirilli, LSW

• Anesthesiology Physician in Mountainside, NJ
• Providers in Mountainside, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.