Individual provider Active NPI

Tania Jessica Zirulnik, C.M., LM

  • Midwife
  • Brooklyn, NY
National Provider Identifier
1134497365
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F001451-1 Issued in NY
Practice address
511 6TH Ave
Brooklyn, NY 11215-4971
Phone
(347) 460-0695
Fax
(646) 741-8561
NPI assigned
Dec 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X F001451-1 NY Primary

Addresses

Primary practice location

511 6TH Ave
Brooklyn, NY 11215-4971

Mailing address

511 6TH Ave
Suite 3L
Brooklyn, NY 11215-4971
Phone (347) 460-0695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F001451-1NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Women OB/GYN PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1134497365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 6TH AVE",
            "address_2": "SUITE 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154971",
            "telephone_number": "347-460-0695",
            "fax_number": "646-741-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154971",
            "telephone_number": "347-460-0695",
            "fax_number": "646-741-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIRULNIK",
        "first_name": "TANIA",
        "middle_name": "JESSICA",
        "credential": "C.M., LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001451-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.