Sara Zuckerman, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP0033500 Issued in NJ

Practice address

740 Route 1 N
Iselin, NJ 08830-2652

Phone

(732) 726-0011

NPI assigned

May 5, 2014

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sara.zuckerman.1@11915.direct.athenahealth.com

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.

• Lakewood Resource and Referral Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1083748297
  Medicare reassignment NPD (past)
• Ocean Health Initiatives Inc

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1043306574
  Medicare reassignment
• Lakewood Resource and Referral Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jackson, NJ
  • NPI 1124844816
  NPD
• Lakewood Resource and Referral Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1518437474
  NPD
• Ocean Health Initiatives, Inc

  • Federally Qualified Health Center (FQHC)
  • Toms River, NJ
  • NPI 1417938044
  NPD
• Ocean Health Initiatives, Inc.

  • Federally Qualified Health Center (FQHC)
  • Freehold, NJ
  • NPI 1194226373
  NPD
• Ocean Health Initiatives

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1710980917
  NPD (past)

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1770993248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307101",
            "telephone_number": "718-673-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 ROUTE 1 N",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302652",
            "telephone_number": "732-726-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKERMAN",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP0033500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yinghua Wu, L.AC
• Nicole Yahrling, COTA/L
• Nicole York
• You Bridge Health
• Heather Zeveney, APN-C

• Medical Physician Assistant in Iselin, NJ
• Providers in Iselin, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.