Individual provider Active NPI

Ryan J Zapata, MD

  • Emergency Medicine Physician
  • Greenport, NY
National Provider Identifier
1255461109
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
217803 Issued in NY
Practice address
201 Manor PL
Greenport, NY 11944-1222
Phone
(631) 477-5427
Fax
(631) 477-5822
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 217803 NY Primary

Addresses

Primary practice location

201 Manor PL
Greenport, NY 11944-1222

Mailing address

201 Manor PL
Greenport, NY 11944-1222
Phone (631) 477-5427

Other practice location 1

101 Nicolls Rd
Stony Brook, NY 11794-2401
Phone (631) 444-2478

Other practice location 2

111 E 210th St
Emergency Medicine
Bronx, NY 10467-2401
Phone (718) 920-6626

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
I20031119000563 NY Practitioner - Emergency Medicine 6901710268 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Emergency Physicians, University Faculty Practice Corporat Emergency Medicine CurrentSince Nov 13, 2018 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients

Locations

201 Manor Pl
Greenport, NY 11944
Phone (631) 477-1000

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065

Interoperability endpoints

  • Direct secure messaging: ryan.zapata@direct.stonybrookmedicine.edu

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1255461109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MANOR PL",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441222",
            "telephone_number": "631-477-5427",
            "fax_number": "631-477-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MANOR PL",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441222",
            "telephone_number": "631-477-5427",
            "fax_number": "631-477-5822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Nicolls Rd",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117942401",
            "country_code": "US",
            "telephone_number": "631-444-2478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E 210th St",
            "address_2": "Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-6626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAPATA",
        "first_name": "RYAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "217803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenport, NY

Sources for this page

Verify at the official NPI Registry.