Organization Active NPI

Dr Z Internal Medicine and Disease Prevention LLC

  • Internal Medicine Physician
  • Martinsville, NJ
National Provider Identifier
1962285874
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR Z INTERNAL MEDICINE AND DISEASE PREVENTION LLC
Practice address
784 Chimney Rock Rd Ste G
Martinsville, NJ 08836-2272
Phone
(973) 773-2037
NPI assigned
Aug 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Fred Yarazavi
Title
Billing Manager
Phone
(973) 773-2037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

784 Chimney Rock Rd Ste G
Martinsville, NJ 08836-2272

Mailing address

784 Chimney Rock Rd Ste G
Martinsville, NJ 08836-2272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240130000165 NJ Part B Supplier - Clinic/Group Practice 3476906157 Receives reassigned benefits from 1 practitioner
Practice locations: Martinsville, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1962285874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 CHIMNEY ROCK RD STE G",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 CHIMNEY ROCK RD STE G",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362272",
            "telephone_number": "973-773-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR Z INTERNAL MEDICINE AND DISEASE PREVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "YARAZAVI",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "973-773-2037"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.