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Chana Shira Zablocki, M.D.

Family Medicine in Elizabeth, NJ. Individual provider (NPI-1).

NPI number1760633556
StatusActive
Last updated in NPPESSep 25, 2025

Details

NPI
1760633556
Entity type
Individual (NPI-1)
Name
Chana Shira Zablocki
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 10, 2008
Certification date
Sep 25, 2025
Last updated
Sep 25, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
Medicare opt-out
Jul 1, 2026 to Jul 1, 2028
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine25MA08484300NJYes

Practice location

418 Palmer St
Elizabeth, NJ 07202-3710

Phone 908-820-4250 · Fax 908-820-4252

Mailing address

845 Jerome Ave
Hillside, NJ 07205-3107

Phone 908-764-5587

Other practice locations

14 Smull Ave
Caldwell, NJ 07006-5000

Phone 862-370-5333

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Elizabeth, NJ

All 23 Family Medicine Physician providers in Elizabeth · All 1,746 providers in Elizabeth

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