Individual provider Active NPI

Johann Zephirin, PA

  • Physician Assistant
  • Copiague, NY
National Provider Identifier
1366399230
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1132 Campagnoli Ave
Copiague, NY 11726-2312
Phone
(631) 406-3664
NPI assigned
Mar 11, 2026
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1132 Campagnoli Ave
Copiague, NY 11726-2312

Mailing address

1132 Campagnoli Ave
Copiague, NY 11726-2312
Phone (631) 406-3664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York Downstate Medical Center, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Research Rd
Ridge, NY 11961-2701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1366399230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 CAMPAGNOLI AVE",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117262312",
            "telephone_number": "631-406-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 CAMPAGNOLI AVE",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117262312",
            "telephone_number": "631-406-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPHIRIN",
        "first_name": "JOHANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copiague, NY

Sources for this page

Verify at the official NPI Registry.