NPIMap

Individual provider Active NPI

John A. Zolan, M.D.

  • Neurology Physician
  • Groton, CT
National Provider Identifier
1366430357
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C52394 Issued in CA
Practice address
Naval Branch Health Clinic 1 Wahoo Avenue
Building #449
Groton, CT 06349-5600
Phone
(860) 694-5870
Fax
(860) 694-2101
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AZ27496 AZ
Neurology Physician 2084N0400X C52394 CA Primary

Addresses

Primary practice location

Naval Branch Health Clinic 1 Wahoo Avenue
Building #449
Groton, CT 06349-5600

Mailing address

Naval Branch Health Clinic 1 Wahoo Avenue
Building # 449
Groton, CT 06349-5600
Phone (860) 694-5870

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
AZ27496AZMDSpecialist
C52394CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic Past Accepting new patients
Honorhealth Past Accepting new patients
Honorhealth Past Accepting new patients
Sansum Clinic Past Accepting new patients
Pinnacle Peak Neurology, LLC Specialist Past Accepting new patients
Honorhealth Past Accepting new patients

Organizations & group practices 6

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1366430357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL BRANCH HEALTH CLINIC 1 WAHOO AVENUE",
            "address_2": "BUILDING # 449",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063495600",
            "telephone_number": "860-694-5870",
            "fax_number": "860-694-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL BRANCH HEALTH CLINIC 1 WAHOO AVENUE",
            "address_2": "BUILDING #449",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063495600",
            "telephone_number": "860-694-5870",
            "fax_number": "860-694-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLAN",
        "first_name": "JOHN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "AZ27496",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C52394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.