Healthcare Provider Details

I. General information

NPI: 1619977634
Provider Name (Legal Business Name): JOSEPH J ZIELINSKI PH D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2005
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 ROUTE 70 E STE K57
CHERRY HILL NJ
08003-4107
US

IV. Provider business mailing address

1930 ROUTE 70 E STE K57
CHERRY HILL NJ
08003-4107
US

V. Phone/Fax

Practice location:
  • Phone: 856-438-5695
  • Fax: 856-438-5694
Mailing address:
  • Phone: 856-438-5695
  • Fax: 856-438-5694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number35S100130000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number35SINJ0013000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: