Individual provider Active NPI

Zhanna Branovan, MD

  • Internal Medicine Physician
  • Wayne, NJ
National Provider Identifier
1881657328
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
69612 Issued in NJ
Practice address
1680 Route 23 Ste 310
Wayne, NJ 07470-7520
Phone
(973) 831-9222
Fax
(973) 831-1460
NPI assigned
Apr 7, 2006
Last updated
Dec 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 69612 NJ Primary

Addresses

Primary practice location

1680 Route 23 Ste 310
Wayne, NJ 07470-7520

Mailing address

1680 Route 23 Ste 310
Wayne, NJ 07470-7520
Phone (973) 831-9222

Other identifiers 1

IdentifierTypeStateIssuer
7726805MedicaidNJ

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
I20090820000736 NJ Practitioner - Internal Medicine 1355495698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Internal Medicine of North Jersey LLCGroup PAC ID 4082768973, 2 clinicians

Practice addresses (Care Compare)

1680 Route 23
Suite 310
Wayne, NJ 07470-7520
Phone (973) 831-9222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69612NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Internal Medicine of North Jersey, LLC Internal Medicine CurrentSince Jul 7, 2009 Accepting new patients
Physicians Health Alliance PA Internal Medicine Past Accepting new patients

Locations

1680 Route 23
Ste 310
Wayne, NJ 07470
Phone (917) 703-0749

1777 Hamburg Tpke
Ste 302
Wayne, NJ 07470
Phone (973) 248-1440

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.

Hospital & facility affiliations 4

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1881657328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 310",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707520",
            "telephone_number": "973-831-9222",
            "fax_number": "973-831-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 310",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707520",
            "telephone_number": "973-831-9222",
            "fax_number": "973-831-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANOVAN",
        "first_name": "ZHANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "69612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7726805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.