Active NPI
Zergabachew Asfaw, M.D
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
National Provider Identifier
1407807472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 205328
- Practice address
- 3965 Sedgwick Ave
1F
Bronx, NY 10463-3111 - Phone
- (718) 548-1569
- Fax
- (718) 548-2480
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 205328 | NY | Primary |
Addresses
Primary practice location
3965 Sedgwick Ave
1F
Bronx, NY 10463-3111
Mailing address
107 Overlook Rd
Pomona, NY 10970-2118
Phone (718) 548-1569
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
107 Overlook Rd
Pomona, NY 10970-2118
Phone (718) 708-4726
Hospital & facility affiliations
- Montefiore Medical Center
- Park Gardens Rehabilitation & Nursing Center LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Gardens Rehabilitation and Nursing Center LLC | Past | Accepting new patients | |
| Grand Manor Health Related Facility Inc. | Past | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- zasfaw@mipa.bronxrhiodirect.org
- zergabachew.asfaw@zergabachewasfawmd.ehi.direct-ci.com
Organizations & group practices 4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
- NPI 1871851295
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1588667125
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1518954130
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1407807472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 OVERLOOK RD",
"city": "POMONA",
"state": "NY",
"postal_code": "109702118",
"telephone_number": "718-548-1569",
"fax_number": "718-548-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 SEDGWICK AVE",
"address_2": "1F",
"city": "BRONX",
"state": "NY",
"postal_code": "104633111",
"telephone_number": "718-548-1569",
"fax_number": "718-548-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASFAW",
"first_name": "ZERGABACHEW",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "205328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.