Provider Demographics
NPI:1447258967
Name:ZAKANYCZ, MARGARET
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:ZAKANYCZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 HWY 35
Mailing Address - Street 2:PLAZA 1 SUITE 101
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3537
Mailing Address - Country:US
Mailing Address - Phone:732-531-0490
Mailing Address - Fax:732-531-9035
Practice Address - Street 1:1300 HWY 35
Practice Address - Street 2:PLAZA 1 SUITE 101
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3537
Practice Address - Country:US
Practice Address - Phone:732-531-0490
Practice Address - Fax:732-531-9035
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00125300213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1209906Medicaid
NJ1209906Medicaid
NJZA479292Medicare ID - Type Unspecified