Individual provider Active NPI

Joseph Zarraga, DO

  • Emergency Medicine Physician
  • Chester, PA
National Provider Identifier
1639676059
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS021146 Issued in PA
Practice address
1 Medical Center Blvd
Chester, PA 19013-3995
Phone
(601) 447-2000
NPI assigned
Apr 11, 2018
Last updated
May 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS021146 PA Primary

Addresses

Primary practice location

1 Medical Center Blvd
Chester, PA 19013-3995

Mailing address

517 Kings Hwy
Milford, DE 19963-1635
Phone (302) 270-6869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210827003003 FL Practitioner - Emergency Medicine 9234534249 Reassigns benefits to 2 organizations
I20221219002729 NJ Practitioner - Emergency Medicine 9234534249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

611 Zeagler Dr
Palatka, FL 32177-3810
Phone (800) 424-3672

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS021146PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Oliver Emergency Group, LLC Emergency Medicine Current Accepting new patients
Insite Medical NJ PA CurrentSince May 1, 2024 Accepting new patients
Insite Medical NJ PA CurrentSince Sep 23, 2022 Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Jun 16, 2022 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

3157 N Monroe St
Tallahassee, FL 32303
Phone (850) 325-5888

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

2 Split Rock Dr
Ste 5
Cherry Hill, NJ 08003
Phone (833) 494-6724

525 Route 73 N
Ste 117D
Marlton, NJ 08053
Phone (215) 315-3197

525 Route 73 N
Ste 302
Marlton, NJ 08053
Phone (833) 464-6724

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26749/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1639676059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 KINGS HWY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631635",
            "telephone_number": "302-270-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133995",
            "telephone_number": "601-447-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARRAGA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS021146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.