MEDICARE: JOHN ZAKKO PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	25MP00926200	NJ

General Provider Information

NPI Number	:	1063370625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ZAKKO PA

Provider Business Mailing Address
First Line	:	16-14 EBERLIN DR
Second Line	:
City	:	FAIR LAWN
State	:	NJ
Zip	:	07410-2419
Country	:	US
Telephone Number	:	201-280-1980
Fax Number	:

Provider Business Practice Location Address
First Line	:	1136 CLIFTON AVE
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07013-3622
Country	:	US
Telephone Number	:	862-249-1266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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