Individual provider Active NPI

Adam D. Zeitlin, DO

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1386745578
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
227362 Issued in NY
Practice address
6854 Main St
Flushing, NY 11367-1325
Phone
(718) 544-0004
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 227362 NY Primary

Addresses

Primary practice location

6854 Main St
Flushing, NY 11367-1325

Mailing address

13666 72ND Ave
Flushing, NY 11367-2328
Phone (718) 380-3809

Other practice location 1

7161 159th St
Flushing, NY 11365-4123
Phone (718) 380-3809

Other identifiers 1

IdentifierTypeStateIssuer
02586547MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040508000093 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1951390673 Reassigns benefits to 1 organization
Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Queens Family Medicine, PLLCGroup PAC ID 6608285614, 3 clinicians

Practice addresses (Care Compare)

7161 159TH St
Fresh Meadows, NY 11365-4123
Phone (718) 380-3809

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
53.55 of 100Reported as group
Quality
66.66
Improvement activities
0
Cost
56.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227362NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Family Medicine, PLLC Family Medicine CurrentSince Apr 22, 2021 Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients
Meadow Park Rehabilitation & Health Care Center LLC Past Accepting new patients

Locations

5834 Main St
Flushing, NY 11355
Phone (718) 358-0506

7161 159th St
Fresh Meadows, NY 11365
Phone (718) 303-8323

6854 Main St
Kew Gardens Hills, NY 11367
Phone (718) 575-2900

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: adz9003@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Meadow Park Rehabilitation & Health Care Center, LLCFresh Meadows, NY, CCN 335143 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jul 10, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 12

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1386745578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13666 72ND AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672328",
            "telephone_number": "718-380-3809",
            "fax_number": "718-303-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6854 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671325",
            "telephone_number": "718-544-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7161 159th St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113654123",
            "country_code": "US",
            "telephone_number": "718-380-3809",
            "fax_number": "718-303-8240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEITLIN",
        "first_name": "ADAM",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "227362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02586547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.