Organization Active NPI

John K Zafaranloo Physician PC

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1043390107
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
232949 Issued in NY
Legal business name
JOHN K ZAFARANLOO PHYSICIAN PC
Practice address
235 Dongan Hill Avenue
Suite 2a
Staten Island, NY 10305
Phone
(718) 351-7650
Fax
(718) 351-7615
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. John K Zafaranloo, MDNPI 1497720056
Title
President
Phone
(347) 733-4728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 232949 NY Primary

Addresses

Primary practice location

235 Dongan Hill Avenue
Suite 2a
Staten Island, NY 10305

Mailing address

235 Dongan Hill Avenue
Suite 2a
Staten Island, NY 10305
Phone (718) 351-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070315000518 NY Part B Supplier - Clinic/Group Practice 5597868307 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1060284John K Zafaranloo Physician PC235 Dongan Hills Ave, Suite 2a, Staten Island, NY 10305Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

Locations

235 Dongan Hills Ave
Ste 2A
Staten Island, NY 10305
Phone (718) 351-7650

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1043390107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 DONGAN HILL AVENUE",
            "address_2": "SUITE 2A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-351-7650",
            "fax_number": "718-351-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 DONGAN HILL AVENUE",
            "address_2": "SUITE 2A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-351-7650",
            "fax_number": "718-351-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN K ZAFARANLOO PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "ZAFARANLOO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-733-4728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "232949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.