Provider Demographics
NPI:1366613747
Name:MARGARET ZAKANYCZ
Entity type:Organization
Organization Name:MARGARET ZAKANYCZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKANYCZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-531-0490
Mailing Address - Street 1:1300 HWY 35
Mailing Address - Street 2:PLAZA 1 SUITE 101
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3537
Mailing Address - Country:US
Mailing Address - Phone:732-531-0490
Mailing Address - Fax:732-531-9035
Practice Address - Street 1:1300 HWY 35
Practice Address - Street 2:PLAZA 1 SUITE 101
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3537
Practice Address - Country:US
Practice Address - Phone:732-531-0490
Practice Address - Fax:732-531-9035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00125300213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1157340001Medicare NSC