NPIMap

Individual provider Active NPI

Zimatu Urenna Chukumerije, D.O.

  • Emergency Medicine Physician
  • Jamaica, NY
National Provider Identifier
1326324831
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
278057 Issued in NY
Practice address
82-68 164TH St
Jamaica, NY 11432
Phone
(718) 883-3070
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 278057 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X NY

Addresses

Primary practice location

82-68 164TH St
Jamaica, NY 11432

Mailing address

402 Grand Blvd
Scarsdale, NY 10583-6552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA, WI, TN4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170801002318 NY Practitioner - Emergency Medicine 0840502100 Reassigns benefits to 3 organizations
I20231128003090 GA Practitioner - Emergency Medicine 0840502100 Reassigns benefits to 3 organizations
I20260513001829 WI Practitioner - Emergency Medicine 0840502100 Reassigns benefits to 7 organizations
I20260623000576 TN Practitioner - Emergency Medicine 0840502100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walker Lake Emergency Group PCGroup PAC ID 0840531919, 31 clinicians

Practice addresses (Care Compare)

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
278057NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Putney Memorial Hospital Inc CurrentSince Aug 15, 2025 Accepting new patients
Fpa Hospital Based Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Walker Lake Emergency Group, PC Emergency Medicine CurrentSince Oct 16, 2023 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine CurrentSince Nov 6, 2023 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Aug 15, 2025 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2017 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Emergency Medical Association Sound Shore PLLC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

Networks

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

Interoperability endpoints

  • Direct secure messaging: zchukumerije9340@nychhc.direct-ci.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 12

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": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1326324831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 GRAND BLVD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82-68 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-883-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKUMERIJE",
        "first_name": "ZIMATU",
        "middle_name": "URENNA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "278057",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.