Active NPI
Stephen Zinnanti, PA
- Physician Assistant
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9106498
- Practice address
- 2401 Frist Blvd
Fort Pierce, FL 34950-4839 - Phone
- (772) 781-4625
- NPI assigned
- Apr 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004944-1 | NY | |
| Physician Assistant | 363A00000X | PA9106498 | FL | Primary |
Addresses
Primary practice location
2401 Frist Blvd
Fort Pierce, FL 34950-4839
Mailing address
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501
Phone (561) 420-8555
Other practice location 1
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501
Phone (561) 420-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
225 S US Hwy 1
Tequesta, FL 33469-2701
Phone (561) 747-4464
328 Northlake Blvd
North Palm Beach, FL 33408-5421
Phone (561) 626-4878
6515 S Kanner Hwy
Stuart, FL 34997-6330
Phone (772) 463-1123
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004944 | NY | MD | Foot & Ankle Surgery Podiatrist |
| 004944-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mecnb, LLC | Current | Accepting new patients |
Locations
750 S Federal Hwy
Deerfield Beach, FL 33441
Phone (954) 421-8181
6515 S Kanner Hwy
Stuart, FL 34997
Phone (772) 463-1123
225 S US Highway 1
Tequesta, FL 33469
Phone (561) 747-4464
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Fort Pierce, FL
- NPI 1306147327
-
- Internal Medicine Physician
- Fort Pierce, FL
- NPI 1538150826
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1275707895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 PALM BEACH LAKES BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096501",
"telephone_number": "561-420-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 FRIST BLVD",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504839",
"telephone_number": "772-781-4625"
}
],
"practiceLocations": [
{
"address_1": "2007 Palm Beach Lakes Blvd",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334096501",
"country_code": "US",
"telephone_number": "561-420-8555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZINNANTI",
"first_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-15",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "004944-1",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.