Healthcare Provider Details

I. General information

NPI: 1003771759
Provider Name (Legal Business Name): LESTER ZAVALA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 BAY AVE STE 106
SOMERS POINT NJ
08244-2554
US

IV. Provider business mailing address

560 TOTOWA RD
TOTOWA NJ
07512-1616
US

V. Phone/Fax

Practice location:
  • Phone: 609-365-8881
  • Fax:
Mailing address:
  • Phone: 862-310-8511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00817200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: