MEDICARE: CARL W ZIESING PHD

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	103G00000X	Clinical Neuropsychologist	35SI00440900	NJ

General Provider Information

NPI Number	:	1366572174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARL W ZIESING PHD

Provider Business Mailing Address
First Line	:	659 EAGLE ROCK AVE
Second Line	:	SUITE 4
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-2138
Country	:	US
Telephone Number	:	888-284-2034
Fax Number	:	302-422-8697

Provider Business Practice Location Address
First Line	:	659 EAGLE ROCK AVE
Second Line	:	SUITE 4
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-2138
Country	:	US
Telephone Number	:	201-321-0347
Fax Number	:	302-422-8697

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	11/30/2015

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1689610875 — KEITH GOLIN PH.D.
Practice Location Address:

659 EAGLE ROCK AVE , STE 4
WEST ORANGE, NJ
07052-2138

Practice Phone: 888-284-2034
Practice Fax: 973-992-4639

1487660213 — KEITH GOLIN PHD LLC
Practice Location Address:

659 EAGLE ROCK AVE STE 4
WEST ORANGE, NJ
07052-2138

Practice Phone: 888-284-2034
Practice Fax: 973-992-4639

1831228584 — CLEA WEISS
Practice Location Address:

659 EAGLE ROCK AVE
WEST ORANGE, NJ
07052-2138

Practice Phone: 973-895-2102
Practice Fax:

1447554688 — DIVINE TOUCH HEALTHCARE SERVICES LLC
Practice Location Address:

659 EAGLE ROCK AVE , SUITE 20
WEST ORANGE, NJ
07052-2138

Practice Phone: 973-517-4191
Practice Fax:

Directions to “ CARL W ZIESING PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.