Zhanna Kanevsky, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07783800 Issued in NJ

Legal business name

ZHANNA KANEVSKY, MD PC

Practice address

23 Branford PL
Newark, NJ 07102-2711

Phone

(973) 424-0080

Fax

(973) 424-0088

NPI assigned

Oct 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Zhanna Kanevsky, MD

Title

VP

Phone

(973) 424-0080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BRANFORD MEDICAL CENTER Other name

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1811271208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BRANFORD PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022711",
            "telephone_number": "973-424-0080",
            "fax_number": "973-424-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BRANFORD PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022711",
            "telephone_number": "973-424-0080",
            "fax_number": "973-424-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZHANNA KANEVSKY, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "KANEVSKY",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "973-424-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07783800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049441",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRANFORD MEDICAL CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alex Xun Zhang, MD
• Haijun Zhang, M.D.
• Isis Zhang, MD
• Wei Wei Zhang, MD
• Winnie Zhang, DMD
• Debra Zharnest, MD
• Qiaonan Corey Zheng
• Ruifang Zheng, M.D.
• Benjamin Zhou, MD
• Nancy Zhou, MD

• All providers in Newark, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.