Individual provider Active NPI

Efram Zuller, NP

  • Acute Care Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1265815542
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
430931 Issued in NY
Practice address
6010 Bay Pkwy
902
Brooklyn, NY 11204-6079
Phone
(718) 475-1700
Fax
(718) 475-1702
NPI assigned
Jul 3, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 430931 NY Primary

Addresses

Primary practice location

6010 Bay Pkwy
902
Brooklyn, NY 11204-6079

Mailing address

1055 E 28TH St
Brooklyn, NY 11210-3741

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160928001416 NY Practitioner - Nurse Practitioner 2769779107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Urgent Care PCGroup PAC ID 2163675372, 9 clinicians

Practice addresses (Care Compare)

667 Myrtle Ave
Brooklyn, NY 11205-4180
Phone (347) 361-0681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
430931NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Feb 1, 2024 Accepting new patients
Community Urgent Care PC CurrentSince Aug 15, 2023 Accepting new patients
Parcare Community Health Network Inc CurrentSince Feb 1, 2024 Accepting new patients

Locations

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

4403 15th Ave
Brooklyn, NY 11219
Phone (718) 373-1000

6010 Bay Pkwy
Ste 902
Brooklyn, NY 11204
Phone (718) 475-1700

6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

357 E Broadway
Monticello, NY 12701
Phone (845) 419-1000

Networks

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

Organizations & group practices 3

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": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1265815542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E 28TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY",
            "address_2": "902",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046079",
            "telephone_number": "718-475-1700",
            "fax_number": "718-475-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULLER",
        "first_name": "EFRAM",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.