Individual provider Active NPI

Anna H Zezon, M.D.

  • Rheumatology Physician
  • Teaneck, NJ
National Provider Identifier
1871866632
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA10094900 Issued in NJ
Practice address
197 Cedar LN Ste 2
Teaneck, NJ 07666-4300
Phone
(201) 975-2400
NPI assigned
Feb 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 265790 NY
Rheumatology Physician 207RR0500X 25MA10094900 NJ Primary

Addresses

Primary practice location

197 Cedar LN Ste 2
Teaneck, NJ 07666-4300

Mailing address

197 Cedar LN
Teaneck, NJ 07666-4317
Phone (201) 975-2400

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
I20171003004240 NJ Practitioner - Rheumatology 8426298944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis and Rheumatic CareGroup PAC ID 8820424864, 2 clinicians

Practice addresses (Care Compare)

197 Cedar LN
Suite 2
Teaneck, NJ 07666-4300
Phone (201) 975-2400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265790NYMDGeriatric Medicine (Internal Medicine) Physician
25MA10094900NJMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenafly Medical Group Rheumatology CurrentSince Oct 19, 2020 Accepting new patients
Arthritis & Rheumatic Care Rheumatology CurrentSince Nov 5, 2019 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Sep 1, 2017 Accepting new patients

Locations

22-18 Broadway
Fair Lawn, NJ 07410
Phone (973) 475-5050

1625 Anderson Ave
Ste 101
Fort Lee, NJ 07024
Phone (201) 224-5790

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

197 Cedar Ln
Teaneck, NJ 07666
Phone (201) 836-7171

197 Cedar Ln
Ste 2
Teaneck, NJ 07666
Phone (201) 591-9840

Interoperability endpoints

  • Direct secure messaging: azezon236812@direct.englewoodhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1871866632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664317",
            "telephone_number": "201-975-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 CEDAR LN STE 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664300",
            "telephone_number": "201-975-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEZON",
        "first_name": "ANNA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "265790",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA10094900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.