Individual provider Active NPI

Vladimir Zagrebelsky, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1346287000
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD421961 Issued in PA
Practice address
6950 Germantown Ave
New Courtland Life
Philadelphia, PA 19119-2120
Phone
(215) 951-4400
Fax
(215) 951-4484
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD421961 PA Primary
Internal Medicine Physician 207R00000X MD421961 PA

Addresses

Primary practice location

6950 Germantown Ave
New Courtland Life
Philadelphia, PA 19119-2120

Mailing address

6950 Germantown Ave
New Courtland Life
Philadelphia, PA 19119-2120
Phone (215) 951-4400

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

State licenses

LicenseStateTypeSpecialty
MD421961PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Geriatric Medicine Past Accepting new patients
Einstein Practice Plan Inc Internal Medicine Past Accepting new patients

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1346287000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 GERMANTOWN AVE",
            "address_2": "NEW COURTLAND LIFE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192120",
            "telephone_number": "215-951-4400",
            "fax_number": "215-951-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 GERMANTOWN AVE",
            "address_2": "NEW COURTLAND LIFE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192120",
            "telephone_number": "215-951-4400",
            "fax_number": "215-951-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGREBELSKY",
        "first_name": "VLADIMIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD421961",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD421961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.