NPIMap

Individual provider Active NPI

Zachary Zinovy Brener, M.D,

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1265479539
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
217004 Issued in NY
Practice address
1309 Avenue P
Brooklyn, NY 11229-1164
Phone
(718) 648-2162
Fax
(718) 645-1148
NPI assigned
Jun 2, 2006
Last updated
Dec 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 217004 NY Primary

Addresses

Primary practice location

1309 Avenue P
Brooklyn, NY 11229-1164

Mailing address

150 E 61St St
Apt 16B
New York, NY 10065-8529
Phone (718) 648-2161

Other identifiers 1

IdentifierTypeStateIssuer
02239605MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020000734 NY Practitioner - NephrologyPractitioner - Internal Medicine 8628038049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2107 Ditmas Ave
Brooklyn, NY 11226-6903
Phone (718) 462-8500

2525 Kings Hwy
Brooklyn, NY 11229-1705
Phone (718) 692-5300

26 Brighton 11TH St
Brooklyn, NY 11235-5304
Phone (718) 743-5955

3035 W 24TH St
Brooklyn, NY 11224-2114
Phone (718) 372-4500

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 252-3000

835 Herkimer St
Brooklyn, NY 11233-3031
Phone (718) 221-2840

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Voorhies Nephrology Medical PC Specialist CurrentSince Jan 5, 2004 Accepting new patients
Beth Israel Medical Center Past Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

Networks

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

Organizations & group practices 4

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1265479539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 61ST ST",
            "address_2": "APT 16B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658529",
            "telephone_number": "718-648-2161",
            "fax_number": "718-645-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291164",
            "telephone_number": "718-648-2162",
            "fax_number": "718-645-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENER",
        "first_name": "ZACHARY",
        "middle_name": "ZINOVY",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "217004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02239605",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.