Provider Demographics
NPI:1386889111
Name:SHENGPING ZOU, MD, LLC
Entity type:Organization
Organization Name:SHENGPING ZOU, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHENGPING
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-494-9111
Mailing Address - Street 1:2 LINCOLN HWY
Mailing Address - Street 2:109
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3961
Mailing Address - Country:US
Mailing Address - Phone:732-494-9111
Mailing Address - Fax:732-494-9112
Practice Address - Street 1:2 LINCOLN HWY
Practice Address - Street 2:109
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3961
Practice Address - Country:US
Practice Address - Phone:732-494-9111
Practice Address - Fax:732-494-9112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06705200208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0175811Medicaid