Active NPI
Chana Shira Zablocki, M.D.
- Family Medicine Physician
- Elizabeth, NJ
National Provider Identifier
1760633556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA08484300
- Practice address
- 418 Palmer St
Elizabeth, NJ 07202-3710 - Phone
- (908) 820-4250
- Fax
- (908) 820-4252
- NPI assigned
- Oct 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA08484300 | NJ | Primary |
Addresses
Primary practice location
418 Palmer St
Elizabeth, NJ 07202-3710
Mailing address
845 Jerome Ave
Hillside, NJ 07205-3107
Phone (908) 764-5587
Other practice location 1
14 Smull Ave
Caldwell, NJ 07006-5000
Phone (862) 370-5333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Radiology Group of New Jersey, LLC | Past | Accepting new patients |
Interoperability endpoints
- chana.zablocki.1@31672.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1760633556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 JEROME AVE",
"city": "HILLSIDE",
"state": "NJ",
"postal_code": "072053107",
"telephone_number": "908-764-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 PALMER ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072023710",
"telephone_number": "908-820-4250",
"fax_number": "908-820-4252"
}
],
"practiceLocations": [
{
"address_1": "14 Smull Ave",
"address_purpose": "LOCATION",
"city": "Caldwell",
"state": "NJ",
"postal_code": "070065000",
"country_code": "US",
"telephone_number": "862-370-5333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZABLOCKI",
"first_name": "CHANA",
"middle_name": "SHIRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA08484300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.