Individual provider Active NPI

Zyanya Flores, PA

  • Physician Assistant
  • Brick, NJ
National Provider Identifier
1104658202
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00856700 Issued in NJ
Practice address
446 Jack Martin Blvd
Brick, NJ 08724-7733
Phone
(732) 840-4300
Fax
(732) 840-4515
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00856700 NJ Primary

Addresses

Primary practice location

446 Jack Martin Blvd
Brick, NJ 08724-7733

Mailing address

446 Jack Martin Blvd
Brick, NJ 08724-7733
Phone (732) 840-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20241001000812 NJ Practitioner - Physician Assistant 3173063054 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates, PA Current Accepting new patients
Advanced Urology Associates Enterprises CurrentSince Jul 23, 2024 Accepting new patients

Locations

446 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 458-5300

2401 State Route 35
Manasquan, NJ 08736
Phone (732) 223-7877

595 Shrewsbury Ave
Ste 103
Shrewsbury, NJ 07702
Phone (732) 741-5923

Interoperability endpoints

  • Direct secure messaging: zyanyaflorespac@coastalurology.medentdirect.com
  • FHIR API: https://app.meldrx.com/api/fhir/uc33586_urologyassociatespa

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.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1104658202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247733",
            "telephone_number": "732-840-4300",
            "fax_number": "732-840-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247733",
            "telephone_number": "732-840-4300",
            "fax_number": "732-840-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ZYANYA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00856700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.