Provider Demographics
NPI:1144011867
Name:ZENG, JASON
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:ZENG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 6TH ST NW APT 618
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3759
Mailing Address - Country:US
Mailing Address - Phone:202-460-9488
Mailing Address - Fax:
Practice Address - Street 1:800 6TH ST NW APT 618
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3759
Practice Address - Country:US
Practice Address - Phone:202-460-9488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant