Active NPI
Donna M Zelencich
- Gastroenterology Registered Nurse
- Beacon, NY
National Provider Identifier
1063011286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Registered Nurse
- License
- 672137-1
- Practice address
- 18 Strack Dr
Beacon, NY 12508-1596 - Phone
- (845) 831-4800
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Registered Nurse | 163WG0100X | 672137-1 | NY | Primary |
Addresses
Primary practice location
18 Strack Dr
Beacon, NY 12508-1596
Mailing address
602 Sacandaga Loop
Wappingers Falls, NY 12590-7097
Phone (845) 406-8637
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 |
|---|---|---|---|
| 672137-1 | NY | MD | Gastroenterology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1063011286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 SACANDAGA LOOP",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125907097",
"telephone_number": "845-406-8637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 STRACK DR",
"city": "BEACON",
"state": "NY",
"postal_code": "125081596",
"telephone_number": "845-831-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELENCICH",
"first_name": "DONNA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gastroenterology",
"state": "NY",
"license": "672137-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beacon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.