Provider Demographics
NPI:1487609079
Name:ZIGELMAN, NATALYA (DPM)
Entity type:Individual
Prefix:
First Name:NATALYA
Middle Name:
Last Name:ZIGELMAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-6053
Mailing Address - Country:US
Mailing Address - Phone:201-662-1996
Mailing Address - Fax:210-662-1977
Practice Address - Street 1:146 HILLCREST RD
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-6053
Practice Address - Country:US
Practice Address - Phone:201-662-1996
Practice Address - Fax:210-662-1977
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00280800213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU99073Medicare UPIN