Individual provider Active NPI

Zinaida Lyuboff, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1003822628
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
214215 Issued in NY
Practice address
135 Ocean Pkwy
Suite 1U
Brooklyn, NY 11218-2567
Phone
(718) 614-6167
Fax
(718) 769-0657
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 214215 NY Primary

Addresses

Primary practice location

135 Ocean Pkwy
Suite 1U
Brooklyn, NY 11218-2567

Mailing address

3411 Guider Ave Apt 6
Brooklyn, NY 11235-5235
Phone (718) 333-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060210000325 NY Practitioner - PsychiatryPractitioner - Obstetrics/Gynecology 5698780799 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Medical P.C. CurrentSince Dec 1, 2006 Accepting new patients
Gastroenterology Associates of Brooklyn PLLC CurrentSince Feb 10, 2024 Accepting new patients
Brooklyn Care Medical PC PastSince Oct 1, 2002 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Past Accepting new patients
Comprehensive Psychological Evaluation PC Past Accepting new patients

Locations

8622 Bay Pkwy
Ste 1
Brooklyn, NY 11214
Phone (718) 333-2121

902 Quentin Rd
Fl 7
Brooklyn, NY 11223
Phone (718) 336-3900

1725 E 12th St
Ste 201
Brooklyn, NY 11229
Phone (718) 336-6334

902 Quentin Rd
Ste 701
Brooklyn, NY 11223
Phone (718) 336-3900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEGGCA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1003822628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 GUIDER AVE APT 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355235",
            "telephone_number": "718-333-2121",
            "fax_number": "718-333-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 OCEAN PKWY",
            "address_2": "SUITE 1U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182567",
            "telephone_number": "718-614-6167",
            "fax_number": "718-769-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYUBOFF",
        "first_name": "ZINAIDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "214215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.