MEDICARE: FAMILY PRACTICE ASSOCIATES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	25MA05217000	NJ

General Provider Information

NPI Number	:	1386785020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY PRACTICE ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	39 OLCOTT SQ
Second Line	:
City	:	BERNARDSVILLE
State	:	NJ
Zip	:	07924-2317
Country	:	US
Telephone Number	:	908-221-1919
Fax Number	:	908-221-1005

Provider Business Practice Location Address
First Line	:	39 OLCOTT SQ
Second Line	:
City	:	BERNARDSVILLE
State	:	NJ
Zip	:	07924-2317
Country	:	US
Telephone Number	:	908-221-1919
Fax Number	:	908-221-1005

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THOMAS S. ZIERING
Credential	:	M.D.
Telephone Number	:	908-221-1919

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	08/22/2020

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