Christopher Zaccaria

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02192000 Issued in NJ

Practice address

333 US Highway 46 Unit 135
Fairfield, NJ 07004-2427

Phone

(973) 943-4300

NPI assigned

Aug 23, 2023

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

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mecca Integrated Medical Center, LLCGroup PAC ID 5496890691, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mecca Integrated Medical Center, LLC

  • Internal Medicine Physician
  • Fairfield, NJ
  • NPI 1427296698

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1659155240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 JOHN ST",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041436",
            "telephone_number": "973-885-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 US HIGHWAY 46 UNIT 135",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042427",
            "telephone_number": "973-943-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCARIA",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02192000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Perea Yepes, LAC
• Bryan M Yohananov
• Maha M Younes, PH.D.
• Your Choice Home Care
• Youth Consultation Service Inc
• Dijellza Zaku, LMHC
• Eugene Zhang, PHARMD
• Jaime Zirk
• Zpdemop,LLC (ComForcare Senior Services)
• Kathryn R Zubicki, PT, DPT

• Physical Therapist in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.