Healthcare Provider Details

I. General information

NPI: 1386785020
Provider Name (Legal Business Name): FAMILY PRACTICE ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 OLCOTT SQ
BERNARDSVILLE NJ
07924-2317
US

IV. Provider business mailing address

39 OLCOTT SQ
BERNARDSVILLE NJ
07924-2317
US

V. Phone/Fax

Practice location:
  • Phone: 908-221-1919
  • Fax: 908-221-1005
Mailing address:
  • Phone: 908-221-1919
  • Fax: 908-221-1005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number25MA05217000
License Number StateNJ

VIII. Authorized Official

Name: DR. THOMAS S. ZIERING
Title or Position: PRESIDENT
Credential: M.D.
Phone: 908-221-1919