Healthcare Provider Details

I. General information

NPI: 1255619581
Provider Name (Legal Business Name): ATIKA ZUBERA M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 CHERRY ST
SCRANTON PA
18505-1505
US

IV. Provider business mailing address

840 MAIN ST APT F BELLEVILLE
BELLEVILLE NJ
07109-3434
US

V. Phone/Fax

Practice location:
  • Phone: 570-348-6100
  • Fax:
Mailing address:
  • Phone: 973-424-3323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD459295
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: