Individual provider Active NPI

Anya Maddow-Zimet, RN, NP

  • Women's Health Nurse Practitioner
  • Jackson Heights, NY
National Provider Identifier
1285031351
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421181-1 Issued in NY
Practice address
3433 Junction Blvd
Jackson Heights, NY 11372-3828
Phone
(347) 396-6299
NPI assigned
Dec 4, 2014
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F421181-1 NY Primary

Addresses

Primary practice location

3433 Junction Blvd
Jackson Heights, NY 11372-3828

Mailing address

4209 28TH St # CN-48
Long Island City, NY 11101-4130
Phone (347) 796-6299

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
I20150519002389 NY Practitioner - Nurse Practitioner 6204156045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

295 Flatbush Ave Ext
Brooklyn, NY 11201-3001
Phone (718) 797-8196

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F421181-1NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of New York Office of Payroll Administration Current Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients

Locations

295 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (212) 566-3587

3433 Junction Blvd
Jackson Heights, NY 11372
Phone (718) 334-6150

3433 Junction Blvd
Fl 2
Jackson Heights, NY 11372
Phone (718) 396-5134

4209 28th St
#15111
Long Island City, NY 11101
Phone (347) 396-4853

4209 28th St
#48
Long Island City, NY 11101
Phone (347) 396-6234

2238 5th Ave
New York, NY 10037
Phone (646) 698-4405

Interoperability endpoints

  • Direct secure messaging: amaddowzimet678871@nychhc.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1285031351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 28TH ST # CN-48",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014130",
            "telephone_number": "347-796-6299",
            "fax_number": "347-396-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 JUNCTION BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723828",
            "telephone_number": "347-396-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOW-ZIMET",
        "first_name": "ANYA",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421181-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.