Individual provider Active NPI

Zackary Paul Mullen

  • Allergy Physician
  • Northfield, NJ
National Provider Identifier
1912860198
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
25MP00985500 Issued in NJ
Practice address
200 Tilton Rd Ste 5
Northfield, NJ 08225-1270
Phone
(609) 400-3910
NPI assigned
Dec 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 25MP00985500 NJ Primary

Addresses

Primary practice location

200 Tilton Rd Ste 5
Northfield, NJ 08225-1270

Mailing address

1023 Courtney Way
Mount Laurel, NJ 08054-6332

Other practice location 1

59 One Mile Rd Ext
East Windsor, NJ 08520-2505
Phone (609) 443-4500

Other practice location 2

4 Paragon Way Ste 300
Freehold, NJ 07728-7805
Phone (732) 462-9800

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
I20251218002149 NJ Practitioner - Physician Assistant 3870088719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15 W 27TH St
FL 11
New York, NY 10001-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00985500NJMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC Allergy CurrentSince Dec 9, 2025 Accepting new patients

Locations

59 One Mile Rd Ext
East Windsor, NJ 08520
Phone (609) 443-1150

4 Paragon Way
Ste 300
Freehold, NJ 07728
Phone (732) 462-9800

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

200 Tilton Rd
Ste 5
Northfield, NJ 08225
Phone (609) 400-3910

368 Lakehurst Rd
Ste 201
Toms River, NJ 08755
Phone (732) 505-1500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1912860198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 COURTNEY WAY",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TILTON RD STE 5",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251270",
            "telephone_number": "609-400-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 One Mile Rd Ext",
            "address_purpose": "LOCATION",
            "city": "East Windsor",
            "state": "NJ",
            "postal_code": "085202505",
            "country_code": "US",
            "telephone_number": "609-443-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Paragon Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077287805",
            "country_code": "US",
            "telephone_number": "732-462-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "ZACKARY",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "25MP00985500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

Verify at the official NPI Registry.