Active NPI
Daniel Walter Zumofen, M.D.
- Neurological Surgery Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 299799
- Practice address
- 4802 10TH Ave
Brooklyn, NY 11219-2916 - Phone
- (844) 640-5740
- NPI assigned
- Mar 6, 2013
- Last updated
- Jul 5, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 08607 | NY | |
| Neurological Surgery Physician | 207T00000X | 299799 | NY | Primary |
Addresses
Primary practice location
4802 10TH Ave
Brooklyn, NY 11219-2916
Mailing address
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (844) 640-5740
Other practice location 1
4540 Center Blvd
Apt 3102
Long Island City, NY 11109-5792
Phone (917) 456-2075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7601000740670 | Other | SWISS PHYSICIAN IDENTIFICATION NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 01141799513782 | Health Information Exchange (HIE) |
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
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6367
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08607 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center - MMC Neurosurgery FPP | Neurological Surgery | Current | Accepting new patients |
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Downtown Bronx Medical Associates PC | Current | Accepting new patients | |
| Maimonides Medical Center | Past | Accepting new patients | |
| MMC Neurosurgery | Neurological Surgery | Past | Accepting new patients |
Locations
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
948 48th St
Fl 2
Brooklyn, NY 11219
Phone (718) 283-7219
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- danielzumofen@mai.allscriptsdirect.net
- dzumofen1356539@nychhc.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Brooklyn, NY
- NPI 1043460199
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Specialist
- Brooklyn, NY
- NPI 1043417017
-
- Neurological Surgery Physician
- Brooklyn, NY
- NPI 1952420945
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1255672945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "844-640-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "844-640-5740"
}
],
"practiceLocations": [
{
"address_1": "4540 Center Blvd",
"address_2": "Apt 3102",
"address_purpose": "LOCATION",
"city": "Long Island City",
"state": "NY",
"postal_code": "111095792",
"country_code": "US",
"telephone_number": "917-456-2075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZUMOFEN",
"first_name": "DANIEL",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-06",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "08607",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NY",
"license": "299799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SWISS PHYSICIAN IDENTIFICATION NUMBER",
"identifier": "7601000740670",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "01141799513782",
"affiliation": "N",
"endpointDescription": "Cellphone",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4802 10th Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112192916",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 5, 2019; 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.