Individual provider Active NPI

Nicholas Martin Zinn, MD

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Paoli, PA
National Provider Identifier
1356755953
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
License
MD468292 Issued in PA
Practice address
255 W Lancaster Ave Ste 424
Paoli, PA 19301-1763
Phone
(484) 565-2580
NPI assigned
Jun 12, 2014
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 MT206513 PA
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X MD468292 PA Primary

Addresses

Primary practice location

255 W Lancaster Ave Ste 424
Paoli, PA 19301-1763

Mailing address

2401 Pennsylvania Ave Apt 9A7
Philadelphia, PA 19130-3033
Phone (215) 588-8869

Other practice location 1

245 N 15th St
Philadelphia, PA 19102-1101
Phone (215) 762-2365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, DC, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190801001519 IN Practitioner - Emergency Medicine 2567733272 Reassigns benefits to 1 organization
I20200701003438 DC Practitioner - Emergency Medicine 2567733272 Reassigns benefits to 2 organizations
I20220704000257 PA Practitioner - Emergency Medicine 2567733272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT206513PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Aug 22, 2022 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Oct 2, 2023 Accepting new patients
Chestnut Hill Clinic Company, LLC Current Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Oct 2, 2023 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Aug 22, 2022 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 1, 2020 Accepting new patients
Main Line Healthcare CurrentSince Feb 1, 2024 Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

255 W Lancaster Ave
Ste 424
Paoli, PA 19301
Phone (484) 227-2580

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1267/brand/2/csg/121/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1356755953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE APT 9A7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303033",
            "telephone_number": "215-588-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE STE 424",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "484-565-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 N 15th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021101",
            "country_code": "US",
            "telephone_number": "215-762-2365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZINN",
        "first_name": "NICHOLAS",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT206513",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "MD468292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.