Individual provider Active NPI

Nonkulie Zweli Dladla, MD

  • Internal Medicine Physician
  • Montclair, NJ
National Provider Identifier
1083836894
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
237629-1 Issued in NY
Practice address
120 Stonebridge Rd
Montclair, NJ 07042-1635
Phone
(347) 277-8324
NPI assigned
May 2, 2007
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA10305700 NJ
Internal Medicine Physician 207R00000X 237629-1 NY Primary

Addresses

Primary practice location

120 Stonebridge Rd
Montclair, NJ 07042-1635

Mailing address

7 Lexington Ave
New York, NY 10010-5517
Phone (347) 277-8324

Other practice location 1

7 Lexington Ave
New York, NY 10010-5517
Phone (347) 277-8324

Other identifiers 1

IdentifierTypeStateIssuer
03266502MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070525000094 NY Practitioner - Internal Medicine 9234236258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JS Weill Medical College, Cornell University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
N Dladla MD PLLCGroup PAC ID 8628428869, 2 clinicians

Practice addresses (Care Compare)

7 Lexington Ave
RM 1a
New York, NY 10010-5519
Phone (212) 420-0104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10305700NJMDInternal Medicine Physician
237629-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
N Dladla MD PLLC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
ND Concierge Medicine PC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients

Locations

7 Lexington Ave
Rm 1A
New York, NY 10010
Phone (212) 420-0104

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Access Community Health CenterNew York, NY, CCN 331987 Federally qualified health center W-2 Managing Employee Dec 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1083836894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105517",
            "telephone_number": "347-277-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STONEBRIDGE RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070421635",
            "telephone_number": "347-277-8324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100105517",
            "country_code": "US",
            "telephone_number": "347-277-8324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DLADLA",
        "first_name": "NONKULIE",
        "middle_name": "ZWELI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10305700",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237629-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03266502",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.