Individual provider Active NPI

Maria Evelyn Rodriguez-Zierer, MD

  • Pediatrics Physician
  • Paramus, NJ
National Provider Identifier
1801829239
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA05252700 Issued in NJ
Practice address
22 Madison Ave
3Rd Floor Suite 3
Paramus, NJ 07652-2734
Phone
(201) 291-9797
Fax
(201) 291-9798
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA05252700 NJ Primary

Addresses

Primary practice location

22 Madison Ave
3Rd Floor Suite 3
Paramus, NJ 07652-2734

Mailing address

22 Madison Ave
3Rd Floor Suite 3
Paramus, NJ 07652-2734
Phone (201) 291-9797

Other identifiers 1

IdentifierTypeStateIssuer
4644301MedicaidNJ

Other names 1

  • Evelyn Rodriguez-Zierer Other name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180329001809 NJ Practitioner - Pediatric Medicine 2668734724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Mar 26, 2018 Accepting new patients
Summit Medical Group PA CurrentSince Mar 26, 2018 Accepting new patients
Summit Medical Group, Inc Pediatrics Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

Interoperability endpoints

  • Direct secure messaging: maria.rodriguezzierer.1@2983.direct.athenahealth.com

Organizations & group practices 3

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1801829239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MADISON AVE",
            "address_2": "3RD FLOOR SUITE 3",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522734",
            "telephone_number": "201-291-9797",
            "fax_number": "201-291-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MADISON AVE",
            "address_2": "3RD FLOOR SUITE 3",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522734",
            "telephone_number": "201-291-9797",
            "fax_number": "201-291-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-ZIERER",
        "first_name": "MARIA EVELYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05252700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4644301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "RODRIGUEZ-ZIERER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.