Edward Joseph Zajkowski, M.D.,MPH

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA05005100 Issued in NJ

Practice address

197 Cedar LN
Teaneck, NJ 07666-4301

Phone

(201) 836-7171

Fax

(201) 928-4227

NPI assigned

Jul 2, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1120262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442102400000",
    "number": "1770580938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 LYNN ST",
            "city": "HARRINGTON PARK",
            "state": "NJ",
            "postal_code": "076401119",
            "telephone_number": "201-767-0364",
            "fax_number": "201-928-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664301",
            "telephone_number": "201-836-7171",
            "fax_number": "201-928-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJKOWSKI",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.,MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-02",
        "last_updated": "2015-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA05005100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10668020",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0564401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boas J Yu, APN
• Eve Yudelson, LCSW
• Reema Zahr, LPC
• Michelle Zahtz, PT
• Ignatios S Zairis, MD
• Brenda Sarah Zak, MS
• Shana Karen Zakai, OTR
• Rabia Zakir
• Raymond Robles Zamora, OTR
• Melvin Zelefsky, MD

• Pediatric Adolescent Medicine Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2015; 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.