Healthcare Provider Details

I. General information

NPI: 1104566033
Provider Name (Legal Business Name): JESSICA ZURLO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1691 US HIGHWAY 9 # CN2025
TOMS RIVER NJ
08755-1245
US

IV. Provider business mailing address

1691 US HIGHWAY 9 # CN2025
TOMS RIVER NJ
08755-1245
US

V. Phone/Fax

Practice location:
  • Phone: 732-914-3864
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA13084900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: