Individual provider Active NPI

Myra Zamora, NP

  • Nurse Practitioner
  • Lyons, NJ
National Provider Identifier
1952591166
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F3346291 Issued in NY
Practice address
151 Knollcroft Rd
Lyons, NJ 07939
Phone
(908) 647-0180
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F3346291 NY Primary

Addresses

Primary practice location

151 Knollcroft Rd
Lyons, NJ 07939

Mailing address

34 Arvin Rd
Old Bridge, NJ 08857-1327
Phone (732) 742-2639

Other practice location 1

220 Davidson Ave Ste 306
Somerset, NJ 08873-4144
Phone (732) 997-0707

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
I20120203000129 NJ Practitioner - Nurse Practitioner 8628162658 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F3346291NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Hospital Physicians, P.a. CurrentSince Mar 20, 2019 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Jul 14, 2016 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Jul 14, 2016 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Sep 19, 2024 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Current Accepting new patients
Jersey Behavioral Care LLC PastSince Oct 27, 2019 Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 6

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1952591166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ARVIN RD",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571327",
            "telephone_number": "732-742-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KNOLLCROFT RD",
            "city": "LYONS",
            "state": "NJ",
            "postal_code": "07939",
            "telephone_number": "908-647-0180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Davidson Ave Ste 306",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088734144",
            "country_code": "US",
            "telephone_number": "732-997-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "MYRA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F3346291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, NJ

Sources for this page

Verify at the official NPI Registry.