Active NPI
Jomarie Zeleznik, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
National Provider Identifier
1306888086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 185701
- Practice address
- 3224 Grand Concourse
#Ba
Bronx, NY 10458-1008 - Phone
- (718) 561-0041
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 185701 | NY | Primary |
Addresses
Primary practice location
3224 Grand Concourse
#Ba
Bronx, NY 10458-1008
Mailing address
3224 Grand Concourse
#Ba
Bronx, NY 10458-1008
Phone (718) 561-0041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01551422 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2014 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185701 | NY | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Geriatric Care | Geriatric Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Past | Accepting new patients |
Locations
2550 Webb Ave
Bronx, NY 10468
Phone (718) 561-0041
Organizations & group practices 2
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.
-
- Case Manager/Care Coordinator
- Bronx, NY
- NPI 1053446872
Geriatric Medicine
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1306888086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3224 GRAND CONCOURSE",
"address_2": "#BA",
"city": "BRONX",
"state": "NY",
"postal_code": "104581008",
"telephone_number": "718-561-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3224 GRAND CONCOURSE",
"address_2": "#BA",
"city": "BRONX",
"state": "NY",
"postal_code": "104581008",
"telephone_number": "718-561-0041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELEZNIK",
"first_name": "JOMARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "185701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01551422",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.