Individual provider Active NPI

Irina Zavulunova

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1134423478
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
305586 Issued in NY
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

Updated by the provider on Dec 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211001416 NY Practitioner - Nurse Practitioner 9032439229 Reassigns benefits to 4 organizations

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
Nyc Medical and Neurodiagnostic PCGroup PAC ID 0941199327, 2 clinicians

Practice addresses (Care Compare)

6318 Austin St
Rego Park, NY 11374-2923
Phone (718) 275-7860

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
305586NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doral Medical and Multi Specialty Facility LLC CurrentSince May 12, 2025 Accepting new patients
Novel Medicine PC CurrentSince Jan 14, 2024 Accepting new patients
Nyc Medical and Neurodiagnostic PC CurrentSince Sep 23, 2024 Accepting new patients
Medical Care for You PC CurrentSince Jul 1, 2024 Accepting new patients
Excel Medical PC PastSince Oct 1, 2018 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

  • Direct secure messaging: irina.zavulunova.1@27852.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.