Individual provider Active NPI

Gina Marie Zarrilli, D.O.

  • Pulmonary Disease Physician
  • Farmingdale, NY
National Provider Identifier
1194993931
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
235546-1 Issued in NY
Practice address
110 Bi County Blvd
Suite 114
Farmingdale, NY 11735-3943
Phone
(631) 828-7417
Fax
(631) 828-7494
NPI assigned
Feb 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 235546-1 NY Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 235546-1 NY

Addresses

Primary practice location

110 Bi County Blvd
Suite 114
Farmingdale, NY 11735-3943

Mailing address

110 Bi County Blvd
Suite 114
Farmingdale, NY 11735-3943
Phone (631) 828-7417

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080927000168 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3476620782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd HospiceGroup PAC ID 1759281843, 8 clinicians

Practice addresses (Care Compare)

110 Bi County Blvd
Suite 114
Farmingdale, NY 11735-3923
Phone (631) 828-7415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
235546-1NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Medical Services, P.C. Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1194993931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BI COUNTY BLVD",
            "address_2": "SUITE 114",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353943",
            "telephone_number": "631-828-7417",
            "fax_number": "631-828-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BI COUNTY BLVD",
            "address_2": "SUITE 114",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353943",
            "telephone_number": "631-828-7417",
            "fax_number": "631-828-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARRILLI",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "235546-1",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "235546-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

Verify at the official NPI Registry.