Provider Demographics
NPI:1194307108
Name:ZIPHYCARE MEDICAL OF NEW JERSEY PC
Entity type:Organization
Organization Name:ZIPHYCARE MEDICAL OF NEW JERSEY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GENNADY
Authorized Official - Middle Name:
Authorized Official - Last Name:UKRAINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-902-3166
Mailing Address - Street 1:500 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-4502
Mailing Address - Country:US
Mailing Address - Phone:844-947-6782
Mailing Address - Fax:
Practice Address - Street 1:1 BRIDGE PLZ N STE 810
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-7110
Practice Address - Country:US
Practice Address - Phone:833-947-4927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty