Individual provider Active NPI

Roody Geornyv Zamor, RN

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1114432200
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350198 Issued in NY
Practice address
8019 Avenue K
Brooklyn, NY 11236-4201
Phone
(347) 497-8201
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X 742106 NY
Family Nurse Practitioner 363LF0000X 350198 NY Primary

Addresses

Primary practice location

8019 Avenue K
Brooklyn, NY 11236-4201

Mailing address

8019 Avenue K
Brooklyn, NY 11236-4201

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
I20250530002702 NY Practitioner - Nurse Practitioner 1153784194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
742106NYMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Housing Works Health Services III, Inc. Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Housing Works Health Services III, Inc. Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Oda Primary Health Care Network, Inc. Past Accepting new patients

Locations

57 Willoughby St
Brooklyn, NY 11201
Phone (718) 408-6522

57 Willoughby St
Fl 2
Brooklyn, NY 11201
Phone (347) 473-7475

Networks

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

Interoperability endpoints

  • Direct secure messaging: roody.zamor.1@24989.direct.athenahealth.com

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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1114432200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364201",
            "telephone_number": "347-497-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMOR",
        "first_name": "ROODY",
        "middle_name": "GEORNYV",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "742106",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.