Individual provider Active NPI

Zergabachew Asfaw, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronx, NY
National Provider Identifier
1407807472
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
205328 Issued in NY
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

Updated by the provider on Jul 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060525000197 NY Practitioner - Geriatric MedicinePractitioner - Internal Medicine 9436160777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal 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 Hospital, Bronx, NY, CCN 330059
  • Park Gardens Rehabilitation & Nursing Center LLC Nursing home, Riverdale, NY, CCN 335287

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: zasfaw@mipa.bronxrhiodirect.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.