Individual provider Active NPI

Carlene C Zincke

  • Case Management Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1043056914
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
366547 Issued in NY
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

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
366547NYMDCase Management Registered Nurse
95404390CAMDCase 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.

Verify at the official NPI Registry.