Individual provider Active NPI

Joyce Xiang Zhao, MSN, RN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1013674464
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310623-01 Issued in NY
Practice address
2100 Bedford Ave Apt 3G
Brooklyn, NY 11226-2986
Phone
(917) 292-1965
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F310623-01 NY Primary

Addresses

Primary practice location

2100 Bedford Ave Apt 3G
Brooklyn, NY 11226-2986

Mailing address

2100 Bedford Ave Apt 3G
Brooklyn, NY 11226-2986
Phone (917) 292-1965

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007000776 NY Practitioner - Nurse Practitioner 0648701268 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F310623-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lagrangeville Medical PC CurrentSince Sep 23, 2024 Accepting new patients

Locations

99 Emerson Pl
Ste 201
Brooklyn, NY 11205

71 Franklin Ave
Franklin Square, NY 11010
Phone (347) 885-9963

Organizations & group practices 1

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": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1013674464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BEDFORD AVE APT 3G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262986",
            "telephone_number": "917-292-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BEDFORD AVE APT 3G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262986",
            "telephone_number": "917-292-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "JOYCE",
        "middle_name": "XIANG",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310623-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.