David Zirkiyev, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0065821 Issued in NY

Practice address

16040 78TH Rd
Suite 200
Fresh Meadows, NY 11366-1945

Phone

(718) 544-1444

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Integrated Quality Care Medical

  • Sports Medicine (Preventive Medicine) Physician
  • Flushing, NY
  • NPI 1144465584
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385683200000",
    "number": "1073689246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16040 78TH RD",
            "address_2": "SUITE 200",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661945",
            "telephone_number": "718-544-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 78TH RD",
            "address_2": "SUITE 200",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661945",
            "telephone_number": "718-544-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIRKIYEV",
        "first_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0065821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02521337",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zhifeng Zheng, L.AC.
• Haiyue Zhong
• Theresa X. Zhou, M.D.
• Elizabeth Y Zhu
• Wenren Zhuang
• John Zou, OD
• Xicheng Zou
• Tehila Zuckerman, M.D.
• Michelle Zuniga, RN
• ZXL Corporation

• Physician Assistant in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.