Active NPI
Ann Marie Zumbo, MD
- Internal Medicine Physician
- Bloomsburg, PA
National Provider Identifier
1316923949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD040919L
- Practice address
- 410 Glenn Ave
Suite301
Bloomsburg, PA 17815 - Phone
- (570) 387-7682
- Fax
- (570) 387-7680
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD040919L | PA | Primary |
Addresses
Primary practice location
410 Glenn Ave
Suite301
Bloomsburg, PA 17815
Mailing address
410 Glenn Ave
Suite 301
Bloomsburg, PA 17815
Phone (570) 387-7682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011534430008 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomsburg Physicians Services | Internal Medicine | Past | Accepting new patients |
| Bloomsburg Physicians Services | Past | Accepting new patients | |
| Bloomsburg Physicians Services | Internal Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BPS Benton Family Practice
- Family Medicine Physician
- Benton, PA
- NPI 1285967208
-
dba Ann Zumbo
- Internal Medicine Physician
- Bloomsburg, PA
- NPI 1447455480
-
- Family Medicine Physician
- Bloomsburg, PA
- NPI 1457543290
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1316923949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 GLENN AVE",
"address_2": "SUITE 301",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "17815",
"telephone_number": "570-387-7682",
"fax_number": "570-387-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 GLENN AVE",
"address_2": "SUITE301",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "17815",
"telephone_number": "570-387-7682",
"fax_number": "570-387-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUMBO",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD040919L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011534430008",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.