Individual provider Active NPI

Rachel Zezon

  • Gerontology Nurse Practitioner
  • Somerset, NJ
National Provider Identifier
1659012979
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01284800 Issued in NJ
Practice address
1553 State Route 27 Ste 2100
Somerset, NJ 08873-3995
Phone
(855) 469-8744
NPI assigned
Apr 2, 2022
Last updated
Apr 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 310008 NY
Gerontology Nurse Practitioner 363LG0600X 26NJ01284800 NJ Primary

Addresses

Primary practice location

1553 State Route 27 Ste 2100
Somerset, NJ 08873-3995

Mailing address

9 Cook Rd
East Brunswick, NJ 08816-2870
Phone (201) 873-1688

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512002898 NJ Practitioner - Nurse Practitioner 7911384938 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Vascular Imaging LLC CurrentSince Oct 1, 2024 Accepting new patients
New York Vascular Medicine PLLC Past Accepting new patients

Locations

430 Morris Ave
Elizabeth, NJ 07208
Phone (732) 853-0305

2137 State Route 35
Ste 230
Holmdel, NJ 07733
Phone (732) 201-2225

303 George St
Ste 105A
New Brunswick, NJ 08901
Phone (732) 201-2225

317 George St
Ste 412B
New Brunswick, NJ 08901
Phone (732) 853-0305

1198 Route 166
Toms River, NJ 08753
Phone (732) 201-2225

741 Northfield Ave
Ste 105A
West Orange, NJ 07052
Phone (732) 853-0305

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.

NPI Registry JSON

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1659012979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COOK RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162870",
            "telephone_number": "201-873-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 STATE ROUTE 27 STE 2100",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733995",
            "telephone_number": "855-469-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEZON",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "310008",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01284800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.