Active NPI
Mary Elizabeth Zink, NY229435-1
- Registered Nurse
- Waterford, NY
National Provider Identifier
1124302369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- NY229435-1
- Practice address
- 125 Middletown Rd
Waterford, NY 12188-1516 - Phone
- (518) 237-0800
- Fax
- (518) 237-7083
- NPI assigned
- Oct 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | NY229435-1 | NY | Primary |
Addresses
Primary practice location
125 Middletown Rd
Waterford, NY 12188-1516
Mailing address
125 Middletown Rd
Waterford, NY 12188-1516
Phone (518) 237-9465
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 |
|---|---|---|---|
| NY229435-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterford-Halfmoon Ufsd | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Waterford, NY
- NPI 1720143506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1124302369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 MIDDLETOWN RD",
"city": "WATERFORD",
"state": "NY",
"postal_code": "121881516",
"telephone_number": "518-237-9465",
"fax_number": "518-237-7083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 MIDDLETOWN RD",
"city": "WATERFORD",
"state": "NY",
"postal_code": "121881516",
"telephone_number": "518-237-0800",
"fax_number": "518-237-7083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINK",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "NY229435-1",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "NY229435-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.