Laura Zagon, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0004206 Issued in MD

Practice address

1931 Maple Ave
Haddon Heights, NJ 08035-1117

Phone

(704) 607-4757

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laura.zagon@398008301912068.direct.elationemr.com

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.

• Ydiprmc LLC

  • Urgent Care Clinic/Center
  • Salisbury, MD
  • NPI 1447783899
  Medicare reassignment
• Statcare Group, LLC

  • Urgent Care Clinic/Center
  • Prince Frederick, MD
  • NPI 1780156455
  NPD
• Geridoc LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Charlotte, NC
  • NPI 1790812840
  NPD (past)
• James S Forrester MD PA

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1598722886
  NPD (past)
• Rapha Medical Center, PLLC

  • Legal Medicine
  • Stanley, NC
  • NPI 1215182464
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1972572808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 MAPLE AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351117",
            "telephone_number": "704-607-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 MAPLE AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351117",
            "telephone_number": "704-607-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGON",
        "first_name": "LAURA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102257",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP0048990",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Willard, M.D
• Work-Up Physical Therapy
• Allison Yerkes
• Youth Consultation Service Inc
• Youth Consultation Service, Inc
• David E Zelley, D.M.D.
• Andrew Philip Zinn
• Jeffrey Scott Zuidema, DC

• Physician Assistant in Haddon Heights, NJ
• Providers in Haddon Heights, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.