Etti Deborah Zeldis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

259525 Issued in NY

Practice address

111 E 210TH St
NW6 Medicine Office
Bronx, NY 10467-2401

Phone

(718) 920-6098

Fax

(718) 920-8375

NPI assigned

Dec 2, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Etti Deborah Eckstein Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1407158017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W 102ND ST",
            "address_2": "#2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258400",
            "telephone_number": "862-812-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "address_2": "NW6 MEDICINE OFFICE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-6098",
            "fax_number": "718-920-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELDIS",
        "first_name": "ETTI",
        "middle_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "259525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ETTI",
            "last_name": "ECKSTEIN",
            "middle_name": "DEBORAH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Zehnder-Shamciyan
• Fatima Tuz Zehra
• Danielle Zeidman, PA
• Joanna Sophie Zeitlin, DNP, CNM
• Lisa Horowitz Zeitoun, AU.D.
• Abraham Zelefsky
• Sheryl Elizabeth Zelefsky, DPT
• Woinshet Molla Zelelew
• Rachel Zeleny
• Jomarie Zeleznik, M.D.

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.