Individual provider Active NPI

Milagros Victoria Zisa

  • Gerontology Nurse Practitioner
  • Rutherford, NJ
National Provider Identifier
1851976229
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01097400 Issued in NJ
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

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824002723 NJ Practitioner - Nurse Practitioner 7719361708 Reassigns benefits to 2 organizations

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
Allhealthmedicalgroup Com PCGroup PAC ID 1456746692, 28 clinicians

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

LicenseStateTypeSpecialty
26NJ01097400NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allhealthmedicalgroup Com PC CurrentSince Dec 5, 2024 Accepting new patients
Rwjbh Primary Care Services Nurse Practitioner CurrentSince May 13, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.