Healthcare Provider Details

I. General information

NPI: 1003128513
Provider Name (Legal Business Name): DR. MARTIN RICHARD ZIPKIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MARTIN ZIPKIN D.C.

II. Dates (important events)

Enumeration Date: 07/13/2010
Last Update Date: 04/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 HAMILTON DR
EAST BRUNSWICK NJ
08816-2710
US

IV. Provider business mailing address

15 HAMILTON DR
EAST BRUNSWICK NJ
08816-2710
US

V. Phone/Fax

Practice location:
  • Phone: 732-613-6048
  • Fax:
Mailing address:
  • Phone: 732-221-2638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberMCO2743
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: