Individual provider Active NPI

Marcelo Ernesto Zappi, M.D.

  • Dermatopathology (Pathology) Physician
  • Woodside, NY
National Provider Identifier
1407100050
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
183946 Issued in NY
Practice address
63-11 Queens Boulevard Apt A4
C/O Eduardo Zappi Dermatopathology
Woodside, NY 11377
Phone
(718) 458-7400
Fax
(718) 478-8940
NPI assigned
Nov 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 183946 NY Primary

Addresses

Primary practice location

63-11 Queens Boulevard Apt A4
C/O Eduardo Zappi Dermatopathology
Woodside, NY 11377

Mailing address

6311 Queens Blvd
Woodside, NY 11377-5764
Phone (718) 458-7400

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
I20210629002767 NY Practitioner - Pathology 0648594234

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1407100050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775764",
            "telephone_number": "718-458-7400",
            "fax_number": "718-478-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63-11 QUEENS BOULEVARD APT A4",
            "address_2": "C/O EDUARDO ZAPPI DERMATOPATHOLOGY",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-458-7400",
            "fax_number": "718-478-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPPI",
        "first_name": "MARCELO",
        "middle_name": "ERNESTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NY",
            "license": "183946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.