NPIMap

Individual provider Active NPI

Michael A Zullo, MD

  • Cardiovascular Disease Physician
  • Scarsdale, NY
National Provider Identifier
1023042611
Registry record updated Jun 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1319071 Issued in NY
Practice address
176 Johnson Rd
Scarsdale, NY 10583-6308
Phone
(914) 723-0201
Fax
(914) 723-0201
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 1319071 NY Primary

Addresses

Primary practice location

176 Johnson Rd
Scarsdale, NY 10583-6308

Mailing address

176 Johnson Rd
Scarsdale, NY 10583-6308
Phone (914) 723-0201

Other identifiers 5

IdentifierTypeStateIssuer
2100037OtherGHI
NY6256OtherHEALTHNET
3038779OtherOXFORD
281023OtherUNITED HEALTHCARE
6566339OtherCIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000036 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052446465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of New York Downstate Medical Center, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

535 E 70TH St
New York, NY 10021-4823
Phone (212) 606-1224

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1319071NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gerardo L Zullo MD PC Cardiovascular Disease CurrentSince Apr 1, 2009 Accepting new patients
Michael a Zullo,MD,PC Cardiovascular Disease CurrentSince Jul 2, 2023 Accepting new patients
New York Society for the Relief of the Ruptured and Crippled Maintaini Cardiovascular Disease CurrentSince Jun 1, 2023 Accepting new patients
Cardiology Consultants of Ny PC Past Accepting new patients

Locations

1440 York Ave
Ofc P6
New York, NY 10075
Phone (212) 535-3359

535 E 70th St
New York, NY 10021

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685750400000",
    "number": "1023042611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 JOHNSON RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836308",
            "telephone_number": "914-723-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 JOHNSON RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836308",
            "telephone_number": "914-723-0201",
            "fax_number": "914-723-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULLO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-06-03",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "1319071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2100037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "NY6256",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "3038779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "281023",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6566339",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.