Provider Demographics
NPI:1063722452
Name:ZAKI, NANCY (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:ZAKI
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 GRAND ST
Mailing Address - Street 2:JERSEY CITY MEDICAL CENTER-EMERGENCY DEPT
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-4321
Mailing Address - Country:US
Mailing Address - Phone:201-920-3418
Mailing Address - Fax:
Practice Address - Street 1:355 GRAND ST
Practice Address - Street 2:JERSEY CITY MEDICAL CENTER-EMERGENCY DEPT
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4321
Practice Address - Country:US
Practice Address - Phone:201-920-3418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014371-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical