Alexander Zodiatis, D.O

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MB08130000 Issued in NJ

Practice address

178 Coombs Dr
Paramus, NJ 07652-4435

Phone

(908) 509-4894

Fax

(973) 595-0206

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676678400000",
    "number": "1972655322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 COOMBS DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524435",
            "telephone_number": "347-661-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 COOMBS DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524435",
            "telephone_number": "908-509-4894",
            "fax_number": "973-595-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZODIATIS",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MB08130000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galina V Zhukova, DDS
• Christine Patricia Ziccarelli, FNP-C
• Sabohenia Zillur, PHARMD
• Brunilda Zlotkowski
• Ayah Zobi
• Charles L Zolot, OD
• Kevin Zorba, DO
• Robert Zubowski, M.D.
• Michael John Zurich, D.C.
• Jacquelyn Ann Zwicker

• Pediatric Adolescent Medicine Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; 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.