Individual provider Active NPI

Judith Anne Zdziera, MSHA, RN-BC

  • Psychiatric/Mental Health Registered Nurse
  • Fairless Hills, PA
National Provider Identifier
1740426873
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
48189191 Issued in PA
Practice address
333 N Oxford Valley Rd
Suite 202
Fairless Hills, PA 19030-2624
Phone
(215) 547-5774
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 48189191 PA
Psychiatric/Mental Health Registered Nurse 163WP0808X 48189191 PA Primary

Addresses

Primary practice location

333 N Oxford Valley Rd
Suite 202
Fairless Hills, PA 19030-2624

Mailing address

333 N Oxford Valley Rd
Suite 202
Fairless Hills, PA 19030-2624
Phone (215) 547-5774

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

LicenseStateTypeSpecialty
48189191PAMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fairless Hills Psychological Associates Past Accepting new patients
Fairless Hills Psychological Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1740426873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD",
            "address_2": "SUITE 202",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302624",
            "telephone_number": "215-547-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD",
            "address_2": "SUITE 202",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302624",
            "telephone_number": "215-547-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDZIERA",
        "first_name": "JUDITH ANNE",
        "name_prefix": "Ms.",
        "credential": "MSHA, RN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "PA",
            "license": "48189191",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "48189191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.