Individual provider Active NPI

Gerardo L. Zullo, MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1134216211
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
188299 Issued in NY
Practice address
1440 York Ave
Suite P-6
New York, NY 10021-2577
Phone
(212) 535-3359
Fax
(212) 535-2152
NPI assigned
Oct 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 188299 NY Primary

Addresses

Primary practice location

1440 York Ave
Suite P-6
New York, NY 10021-2577

Mailing address

1440 York Ave
Suite P-6
New York, NY 10021-2577
Phone (212) 535-3359

Other identifiers 7

IdentifierTypeStateIssuer
225898OtherUNITED HEALTHCARE
P449327OtherOXFORD
4964836OtherCIGNA
5511330OtherAETNA
06N691OtherEMPIRE BLUE CROSS SHIELD
3C5400OtherGUARDIAN HEALTHNET
2101847OtherGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
23.25 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
188299NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Zullo MD & Gerardo L Zullo MD LLP Cardiovascular Disease CurrentSince Jul 19, 1996 Accepting new patients
Cardiology Consultants of Ny PC Past Accepting new patients

Locations

1440 York Ave
Ofc P6
New York, NY 10075
Phone (212) 535-3359

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, 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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134216211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 YORK AVE",
            "address_2": "SUITE P-6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212577",
            "telephone_number": "212-535-3359",
            "fax_number": "212-535-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 YORK AVE",
            "address_2": "SUITE P-6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212577",
            "telephone_number": "212-535-3359",
            "fax_number": "212-535-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULLO",
        "first_name": "GERARDO",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "188299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "225898",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P449327",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4964836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5511330",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS SHIELD",
            "identifier": "06N691",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUARDIAN HEALTHNET",
            "identifier": "3C5400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2101847",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.