Active NPI
Carlene C Zincke
- Case Management Registered Nurse
- Brooklyn, NY
National Provider Identifier
1043056914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 366547
- Practice address
- 1127 E 72ND St # 2
Brooklyn, NY 11234-5421 - Phone
- (561) 414-7330
- Fax
- (631) 850-6859
- NPI assigned
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 366547 | NY | Primary |
| Case Manager/Care Coordinator | 171M00000X | 95404390 | CA |
Addresses
Primary practice location
1127 E 72ND St # 2
Brooklyn, NY 11234-5421
Mailing address
1127 E 72ND St # 2
Brooklyn, NY 11234-5421
Phone (561) 414-7330
Other practice location 1
1150 S Olive St Ste 1200
Los Angeles, CA 90015-2211
Phone (347) 659-8936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 366547 | NY | MD | Case Management Registered Nurse |
| 95404390 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1043056914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 E 72ND ST # 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345421",
"telephone_number": "561-414-7330",
"fax_number": "631-850-6859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 E 72ND ST # 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345421",
"telephone_number": "561-414-7330",
"fax_number": "631-850-6859"
}
],
"practiceLocations": [
{
"address_1": "1150 S Olive St Ste 1200",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900152211",
"country_code": "US",
"telephone_number": "347-659-8936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZINCKE",
"first_name": "CARLENE",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NY",
"license": "366547",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "95404390",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.