Provider Demographics
NPI:1770692378
Name:ZAKI, MERAJUDDIN (MD)
Entity type:Individual
Prefix:DR
First Name:MERAJUDDIN
Middle Name:
Last Name:ZAKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1163 ROUTE 37 W
Mailing Address - Street 2:SUITE D2
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-4973
Mailing Address - Country:US
Mailing Address - Phone:732-240-0033
Mailing Address - Fax:732-473-9188
Practice Address - Street 1:1163 ROUTE 37 W
Practice Address - Street 2:SUITE D2
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-4973
Practice Address - Country:US
Practice Address - Phone:732-240-0033
Practice Address - Fax:732-473-9188
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA55463207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6068201Medicaid
NJ6068201Medicaid
NJF41356Medicare UPIN