Alan Zelicoff, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

81-348 Issued in NM

Practice address

4316 Carlisle Blvd NE
Ste C
Albuquerque, NM 87107-4829

Phone

(505) 888-1075

Fax

(505) 888-1082

NPI assigned

Feb 2, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1124350111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 CARLISLE BLVD NE",
            "address_2": "STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074829",
            "telephone_number": "505-888-1075",
            "fax_number": "505-888-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 CARLISLE BLVD NE",
            "address_2": "STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074829",
            "telephone_number": "505-888-1075",
            "fax_number": "505-888-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELICOFF",
        "first_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "81-348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1043376346",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53234774",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anjelica Zehrung
• Karen Zeigler, DO
• Shawn Edward Zeimetz, LMFT
• Fadl Zeineddine, M.D.
• Pauline M Zelaya, CRNA
• Hannah Zell, LPCC
• Melissa Lyn Zellner, LPC
• Monica Renae Zellner, M.S., CCC-SLP
• Kira A Zemkova
• Zen Awakenings Counseling LLC

• Internal Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.