Individual
DR. GREGORY R. ZACCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MSPT, SCS
Contact information
Practice address
184 CENTRAL AVE, 1ST FLOOR, OLD TAPPAN, NJ 07675-7360
(201) 937-3600
(201) 731-5192
Mailing address
1203 RIVER RD FL 1, EDGEWATER, NJ 07020-1456
(201) 937-3600
(201) 731-5192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01107700
NJ
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1268571
CIGNA HEALTH PLANS
—
01
—
2411848
UNITED HEALTHCARE
—
01
—
3681077
OXFORD HEALTH PLANS
—
01
—
7284586
AETNA HEALTH PLANS
—
01
—
800120716
HORIZON BC/BS
—
Enumeration date
10/25/2006
Last updated
05/06/2024
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