Provider Demographics
NPI:1972690998
Name:ZAMPINO, DOMINICK J (DO, FACP)
Entity type:Individual
Prefix:
First Name:DOMINICK
Middle Name:J
Last Name:ZAMPINO
Suffix:
Gender:M
Credentials:DO, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1474 TANYARD ROAD
Mailing Address - Street 2:SUITE B100-A
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080
Mailing Address - Country:US
Mailing Address - Phone:856-566-7070
Mailing Address - Fax:856-566-6906
Practice Address - Street 1:1474 TANYARD ROAD
Practice Address - Street 2:SUITE B100-A
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080
Practice Address - Country:US
Practice Address - Phone:856-566-7070
Practice Address - Fax:856-566-6906
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB58388208M00000X
NJ25MB05838800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6552609Medicaid
G05970Medicare UPIN
NJ777376CN9Medicare PIN