Active NPI
Gerardo L. Zullo, MD
- Cardiovascular Disease Physician
- New York, NY
National Provider Identifier
1134216211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 188299
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225898 | Other | UNITED HEALTHCARE | |
| P449327 | Other | OXFORD | |
| 4964836 | Other | CIGNA | |
| 5511330 | Other | AETNA | |
| 06N691 | Other | EMPIRE BLUE CROSS SHIELD | |
| 3C5400 | Other | GUARDIAN HEALTHNET | |
| 2101847 | Other | GHI |
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
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 23.25 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 77.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188299 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael a Zullo MD & Gerardo L Zullo MD LLP | Cardiovascular Disease | Current | 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.
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1518100635
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1396796934
-
- Interventional Cardiology Physician
- New York, NY
- NPI 1710042205
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.