Individual provider Active NPI

Madeline Zak, D.O.

  • Surgery Physician
  • Bayonne, NJ
National Provider Identifier
1811042955
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MB02799400 Issued in NJ
Practice address
839 Avenue a
Bayonne, NJ 07002-1959
Phone
(201) 437-0400
Fax
(201) 437-6607
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MB02799400 NJ Primary
Family Medicine Physician 207Q00000X 25MB02799400 NJ
Adult Medicine Physician 207QA0505X 25MB02799400 NJ

Addresses

Primary practice location

839 Avenue a
Bayonne, NJ 07002-1959

Mailing address

4 Wesley CT
Bayonne, NJ 07002-1921
Phone (201) 437-0400

Other identifiers 1

IdentifierTypeStateIssuer
P00435800OtherNJMEDICARE-PTAN

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
I20071213000247 NJ Practitioner - General PracticePractitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Gynecological Oncology 5991895021 Practice locations: Bayonne, NJ

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ijkg Opco LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: madeline.zak@direct.bayonnemedicalcenter.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1811042955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WESLEY CT",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021921",
            "telephone_number": "201-437-0400",
            "fax_number": "201-437-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 AVENUE A",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021959",
            "telephone_number": "201-437-0400",
            "fax_number": "201-437-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAK",
        "first_name": "MADELINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB02799400",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB02799400",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "25MB02799400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-PTAN",
            "identifier": "P00435800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.