Provider Demographics
NPI:1386785020
Name:FAMILY PRACTICE ASSOCIATES, PC
Entity type:Organization
Organization Name:FAMILY PRACTICE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:ZIERING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-221-1919
Mailing Address - Street 1:39 OLCOTT SQ
Mailing Address - Street 2:
Mailing Address - City:BERNARDSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07924-2317
Mailing Address - Country:US
Mailing Address - Phone:908-221-1919
Mailing Address - Fax:908-221-1005
Practice Address - Street 1:39 OLCOTT SQ
Practice Address - Street 2:
Practice Address - City:BERNARDSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07924-2317
Practice Address - Country:US
Practice Address - Phone:908-221-1919
Practice Address - Fax:908-221-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05217000174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ597451Medicare ID - Type Unspecified