Individual provider Active NPI

Ryan Zagalsky, MS, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1053834879
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F431176-01 Issued in NY
Practice address
6 Maiden LN RM 500
New York, NY 10038-5140
Phone
(929) 630-4100
NPI assigned
Jul 24, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR15283800 NJ
Acute Care Nurse Practitioner 363LA2100X 26NJ15025300 NJ
Critical Care Medicine Nurse Practitioner 363LC0200X RN60738684 WA
Critical Care Medicine Nurse Practitioner 363LC0200X AP60793280 WA
Registered Nurse 163W00000X 642933 NY
Acute Care Nurse Practitioner 363LA2100X F431176-01 NY Primary

Addresses

Primary practice location

6 Maiden LN RM 500
New York, NY 10038-5140

Mailing address

6 Maiden LN RM 500
New York, NY 10038-5140
Phone (929) 630-4100

Other practice location 1

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-6500

Other practice location 2

747 Broadway
Seattle, WA 98122-4379
Phone (206) 215-2520

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
I20240423001162 NY Practitioner - Nurse Practitioner 9537425194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associate of Wall Street, P.CGroup PAC ID 1658598198, 12 clinicians

Practice addresses (Care Compare)

6 Maiden LN
RM 500
New York, NY 10038-5140
Phone (212) 233-3040

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Extended Home Care Home health agency, Brooklyn, NY, CCN 337414
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290

Merit-based Incentive Payment System (MIPS)

Final score
98.62 of 100Reported as group
Quality
77.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR15283800NJMDRegistered Nurse
431176NYMDRegistered Nurse
642933NYMDRegistered Nurse
26NJ15025300NJMDAcute Care Nurse Practitioner
F431176-01NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associate of Wall Street, P.C. CurrentSince Mar 7, 2024 Accepting new patients
Ny Mobile Medical PC CurrentSince Oct 18, 2024 Accepting new patients
Ny Mobile Medical PC CurrentSince Oct 18, 2024 Accepting new patients

Locations

81 Holly Hill Ln
Fl 3
Greenwich, CT 06830
Phone (203) 884-8420

66 Van Cortlandt Park S
Bronx, NY 10463
Phone (718) 304-1812

2175 Quarry Rd
Bronx, NY 10457
Phone (718) 960-3900

6 Maiden Ln
Ste 500ML
New York, NY 10038

6 Maiden Ln
Rm 500
New York, NY 10038
Phone (929) 630-4100

Organizations & group practices 3

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1053834879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MAIDEN LN RM 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385140",
            "telephone_number": "929-630-4100",
            "fax_number": "929-630-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MAIDEN LN RM 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385140",
            "telephone_number": "929-630-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-241-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "747 Broadway",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981224379",
            "country_code": "US",
            "telephone_number": "206-215-2520",
            "fax_number": "206-215-6364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAGALSKY",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "MS, APRN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-24",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15283800",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ15025300",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "WA",
            "license": "RN60738684",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "WA",
            "license": "AP60793280",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "642933",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F431176-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.