Active NPI
Alla Zozulya, DO
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1194819417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 213831
- Practice address
- 342 Quentin Rd
Brooklyn, NY 11223-1801 - Phone
- (718) 339-0777
- Fax
- (877) 876-2295
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 213831 | NY | Primary |
Addresses
Primary practice location
342 Quentin Rd
Brooklyn, NY 11223-1801
Mailing address
342 Quentin Rd
Brooklyn, NY 11223-1801
Phone (718) 339-0777
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 |
|---|---|---|---|---|
| I20040726001185 | NY | Practitioner - Family Practice | 1153391461 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
342 Quentin Rd
Brooklyn, NY 11223-1801
Phone (718) 339-0777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213831 | NY | MD | Family Medicine Physician |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1194819417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 QUENTIN RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112231801",
"telephone_number": "718-339-0777",
"fax_number": "877-876-2295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 QUENTIN RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112231801",
"telephone_number": "718-339-0777",
"fax_number": "877-876-2295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOZULYA",
"first_name": "ALLA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "213831",
"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 Jul 11, 2011; 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.