Individual provider Active NPI

Alec Zubsov

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1326661604
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405371 Issued in NY
Practice address
2121 Avenue Z FL 2
Brooklyn, NY 11235-2811
Phone
(718) 283-4038
NPI assigned
May 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 676314 NY
Adult Health Nurse Practitioner 363LA2200X 308832 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405371 NY Primary

Addresses

Primary practice location

2121 Avenue Z FL 2
Brooklyn, NY 11235-2811

Mailing address

2121 Avenue Z FL 2
Brooklyn, NY 11235-2811

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
I20251027002854 NY Practitioner - Nurse Practitioner 1557850039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

50 Broadway
FL 6
New York, NY 10004-3810
Phone (917) 305-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
676314NYMDRegistered Nurse
308832NYMDAdult Health Nurse Practitioner
405371NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown East Medical Services, PC Adult Health CurrentSince Sep 26, 2025 Accepting new patients

Locations

15 Fishers Rd
Ste 114
Pittsford, NY 14534
Phone (585) 376-7738

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Interoperability endpoints

  • Direct secure messaging: alec.zubsov.1@29290.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1326661604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 AVENUE Z FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 AVENUE Z FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352811",
            "telephone_number": "718-283-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBSOV",
        "first_name": "ALEC",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-21",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "676314",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308832",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.