Indri Lalman Zulfekar, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

641009-1 Issued in NY

Practice address

11 Kristina St
East Patchogue, NY 11772-4546

Phone

(631) 730-3707

NPI assigned

May 1, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1255658142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KRISTINA ST",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724546",
            "telephone_number": "631-730-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 KRISTINA ST",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724546",
            "telephone_number": "631-730-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULFEKAR",
        "first_name": "INDRI",
        "middle_name": "LALMAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-01",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "276894-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "641009-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255658142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dina Yusupova, MD
• Juan C. Zapata, M.D.
• John Phillip Zauner, RPH
• Joseph Michael Zehentner, DPM
• Craig M Zeier, PT, DPT, MS

• Registered Nurse in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.