Active NPI
Milagros Victoria Zisa
- Gerontology Nurse Practitioner
- Rutherford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ01097400
- Practice address
- 240 Park Ave
Rutherford, NJ 07070-2323 - Phone
- (551) 309-3555
- Fax
- (833) 775-0075
- NPI assigned
- Mar 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ01097400 | NJ | Primary |
Addresses
Primary practice location
240 Park Ave
Rutherford, NJ 07070-2323
Mailing address
312 Belleville Tpke Ste 1B
North Arlington, NJ 07031-6460
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
357 Prospect Ave
Hackensack, NJ 07601-2519
Phone (551) 309-3555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01097400 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allhealthmedicalgroup Com PC | Current | Accepting new patients | |
| Rwjbh Primary Care Services | Nurse Practitioner | Current | Accepting new patients |
Locations
700 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 568-3412
83 Summit Ave
Hackensack, NJ 07601
Phone (201) 646-0010
357 Prospect Ave
Hackensack, NJ 07601
Phone (866) 567-3633
25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262
312 Belleville Tpke
Ste 1B
North Arlington, NJ 07031
Phone (201) 997-6776
339 Passaic Ave
Nutley, NJ 07110
Phone (973) 542-2880
610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660
428 Union Ave
Paterson, NJ 07502
Phone (201) 489-3888
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200
Interoperability endpoints
- https://api.platform.athenahealth.com/23990/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1497408991
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1265037501
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1851976229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 BELLEVILLE TPKE STE 1B",
"city": "NORTH ARLINGTON",
"state": "NJ",
"postal_code": "070316460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 PARK AVE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070702323",
"telephone_number": "551-309-3555",
"fax_number": "833-775-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZISA",
"first_name": "MILAGROS",
"middle_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ01097400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.