Healthcare Provider Details

I. General information

NPI: 1487400289
Provider Name (Legal Business Name): KJZ PROTOCOL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2024
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 EMERYVILLE RD
MARS PA
16046-4404
US

IV. Provider business mailing address

1002 EMERYVILLE RD
MARS PA
16046-4404
US

V. Phone/Fax

Practice location:
  • Phone: 878-208-0288
  • Fax: 724-369-8771
Mailing address:
  • Phone: 878-208-0288
  • Fax: 724-369-8771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN JEROME-ZAPADKA
Title or Position: PRESIDENT
Credential: MD
Phone: 878-208-0288