Active NPI
Eman Zedan
- Primary Care Nurse Practitioner
- Jersey City, NJ
National Provider Identifier
1861929101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 26NJ00726000
- Practice address
- 129 Newark Ave
Jersey City, NJ 07302-2811 - Phone
- (201) 451-8867
- NPI assigned
- May 17, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00726000 | NJ | |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ00726000 | NJ | |
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ00726000 | NJ | Primary |
Addresses
Primary practice location
129 Newark Ave
Jersey City, NJ 07302-2811
Mailing address
40 Neptune Ave
Jersey City, NJ 07305-4709
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.15 of 100
- Quality
- 71.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00726000 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Jersey City Medical Center | Past | Accepting new patients | |
| Riverside Medical Group | Past | Accepting new patients |
Locations
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
6045 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 861-4443
714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346
3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974
Interoperability endpoints
- ezedan76778@direct.optum.com
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
-
- Nurse Practitioner
- Secaucus, NJ
- NPI 1053867598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1861929101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 NEPTUNE AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073054709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 NEWARK AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073022811",
"telephone_number": "201-451-8867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEDAN",
"first_name": "EMAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-17",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00726000",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ00726000",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ00726000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.