Healthcare Provider Details

I. General information

NPI: 1649133604
Provider Name (Legal Business Name): ZACHARY TURTOLA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 E RAILROAD AVE
JAMESBURG NJ
08831-1207
US

IV. Provider business mailing address

10 RITTENHOUSE CIR
FLEMINGTON NJ
08822-3126
US

V. Phone/Fax

Practice location:
  • Phone: 732-561-8555
  • Fax:
Mailing address:
  • Phone: 908-797-0796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL0734900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: