Active NPI
Irina Zavulunova
- Adult Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 305586
- Practice address
- 1249 5TH Ave
New York, NY 10029-4413 - Phone
- (212) 360-1000
- NPI assigned
- Dec 30, 2010
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 305586 | NY | Primary |
Addresses
Primary practice location
1249 5TH Ave
New York, NY 10029-4413
Mailing address
63178 Alderton St
Rego Park, NY 11374-3946
Phone (718) 757-4087
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6318 Austin St
Rego Park, NY 11374-2923
Phone (718) 275-7860
Hospital & facility affiliations
- NYU Langone Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305586 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doral Medical and Multi Specialty Facility LLC | Current | Accepting new patients | |
| Novel Medicine PC | Current | Accepting new patients | |
| Nyc Medical and Neurodiagnostic PC | Current | Accepting new patients | |
| Medical Care for You PC | Current | Accepting new patients | |
| Excel Medical PC | Past | Accepting new patients | |
| Urban Family Practice PC | Past | Accepting new patients |
Locations
1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555
6711 164th St
Fresh Meadows, NY 11365
Phone (718) 762-4500
6318 Austin St
Rego Park, NY 11374
Phone (718) 459-4106
9830 67th Ave
Ste Gg
Rego Park, NY 11374
Phone (718) 339-4448
626 Rxr Plz
Uniondale, NY 11556
Phone (516) 280-9030
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- irina.zavulunova.1@27852.direct.athenahealth.com
- irina.zavulunova@cinq-nyipa.medentdirect.com
Organizations & group practices 6
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.
-
- Neurology Physician
- Rego Park, NY
- NPI 1669407185
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1144693607
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1659906667
-
- Internal Medicine Physician
- Rego Park, NY
- NPI 1164682217
-
- Family Medicine Physician
- Flushing, NY
- NPI 1003005083
-
- In Home Supportive Care Agency
- Baltimore, MD
- NPI 1164594099
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293667200000",
"number": "1134423478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63178 ALDERTON ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743946",
"telephone_number": "718-757-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100294413",
"telephone_number": "212-360-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVULUNOVA",
"first_name": "IRINA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-30",
"last_updated": "2010-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "305586",
"primary": true
}
],
"identifiers": [],
"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 Dec 30, 2010; 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.
- 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.