Healthcare Provider Details

I. General information

NPI: 1235053620
Provider Name (Legal Business Name): DR. ANTHONY ZAZZARINO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 4TH AVE APT 209
ASBURY PARK NJ
07712-6063
US

IV. Provider business mailing address

304 4TH AVE APT 209
ASBURY PARK NJ
07712-6063
US

V. Phone/Fax

Practice location:
  • Phone: 732-275-5410
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00482700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: