Individual provider Active NPI

Paul Zollo

  • Psychiatric/Mental Health Registered Nurse
  • Hudson, NY
National Provider Identifier
1184040792
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
373177-1 Issued in NY
Practice address
713 Union St
Hudson, NY 12534-3001
Phone
(518) 828-4619
Fax
(518) 828-1196
NPI assigned
Mar 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 373177-1 NY Primary

Addresses

Primary practice location

713 Union St
Hudson, NY 12534-3001

Mailing address

713 Union St
Hudson, NY 12534-3001
Phone (518) 828-4619

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
373177-1NYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Association of Columbia - Greene Counties Inc. CurrentSince Mar 20, 2019 Accepting new patients

Locations

713 Union St
Hudson, NY 12534
Phone (518) 828-3327

Interoperability endpoints

  • Direct secure messaging: pzollo@mhacgc.medalliesdirect.net

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": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1184040792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 UNION ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343001",
            "telephone_number": "518-828-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 UNION ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343001",
            "telephone_number": "518-828-4619",
            "fax_number": "518-828-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLO",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "373177-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.