Healthcare Provider Details

I. General information

NPI: 1144479247
Provider Name (Legal Business Name): MARK ALLEN ZAPPONE A.P.N.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2008
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 E ROUTE 70 BUILDING A
MARLTON NJ
08053-2341
US

IV. Provider business mailing address

899 BAYSHORE RD
VILLAS NJ
08251-2780
US

V. Phone/Fax

Practice location:
  • Phone: 856-983-3900
  • Fax: 856-810-0110
Mailing address:
  • Phone: 609-678-8019
  • Fax: 609-866-9666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00169400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: