Provider Demographics
NPI:1801665575
Name:ZANONE, GREGORY (RN)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:ZANONE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:HASKELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07420-1064
Mailing Address - Country:US
Mailing Address - Phone:973-224-9471
Mailing Address - Fax:
Practice Address - Street 1:120 DORSA AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1003
Practice Address - Country:US
Practice Address - Phone:973-224-9471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR15025900163WF0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WF0300XNursing Service ProvidersRegistered NurseFlight