Active NPI
Mark J Zunich, M.D.
- Internal Medicine Physician
- Rhinebeck, NY
National Provider Identifier
1174543839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 165708-1
- Practice address
- 23 Spring Brook Park
Rhinebeck, NY 12572-1141 - Phone
- (845) 876-3832
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 165708-1 | NY | Primary |
Addresses
Primary practice location
23 Spring Brook Park
Rhinebeck, NY 12572-1141
Mailing address
7018 Route 9
Rhinebeck, NY 12572-2169
Phone (845) 876-3832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01541588 | Medicaid | NY |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200323001167 | NY | Order and Referring Only - Internal Medicine | 6901984707 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165708-1 | NY | MD | Internal Medicine Physician |
Interoperability endpoints
- mzunich@direct.health-quest.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1174543839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7018 ROUTE 9",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "125722169",
"telephone_number": "845-876-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 SPRING BROOK PARK",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "125721141",
"telephone_number": "845-876-3832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUNICH",
"first_name": "MARK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "165708-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01541588",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rhinebeck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.