Jalal Zuberi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

031690 Issued in GA

Practice address

325 Lester Rd NW Ste C
Lawrenceville, GA 30044-4046

Phone

(770) 935-1515

Fax

(770) 935-1040

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• East Metro Primary Care

  • Specialist
  • Lawrenceville, GA
  • NPI 1396188876
  NPD (past)
• Morehouse Healthcare, Inc.

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1801832324

  Pediatrics

  NPD (past)
• Vista Medical Clinic

  • Urgent Care Clinic/Center
  • Lawrenceville, GA
  • NPI 1447686738
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1952394298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 LESTER RD NW BLDG 100-A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444024",
            "telephone_number": "770-935-1515",
            "fax_number": "770-935-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 LESTER RD NW STE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444046",
            "telephone_number": "770-935-1515",
            "fax_number": "770-935-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBERI",
        "first_name": "JALAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "GA",
            "license": "031690",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "031690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@northatlantapediatricsffamilycare.com",
            "affiliation": "N",
            "endpointDescription": "communication",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 Lester Rd NW Ste C",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300444046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@northatlantapedsfamilycare.com",
            "affiliation": "N",
            "endpointDescription": "communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 Lester Rd NW Ste C",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300444046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zodiac Medical LLC
• Peter Zonneville, RN
• John A Zora, MD
• ZS Den LLC
• Daniel Alfred Zuardo, RBT
• Stacey Lyle Zuck, D.M.D., M.D.
• Kim L. Zuckerman, LMHC

• Pediatrics Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.