Individual provider Active NPI

Beth Lynn Zucker

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1417616194
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310554-01 Issued in NY
Practice address
94-98 Manhattan Avenue
Brooklyn, NY 11206-2505
Phone
(718) 388-0390
Fax
(718) 486-5741
NPI assigned
Dec 10, 2021
Last updated
Dec 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F310554-01 NY Primary

Addresses

Primary practice location

94-98 Manhattan Avenue
Brooklyn, NY 11206-2505

Mailing address

60 Madison Avenue
5TH Floor
New York, NY 10010-1600
Phone (212) 545-2400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220324001767 NY Practitioner - Nurse Practitioner 2668867896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare Network IncGroup PAC ID 7416855143, 83 clinicians

Practice addresses (Care Compare)

255 E Houston St
New York, NY 10002-1013
Phone (212) 447-1120

94 -98 Manhattan Ave
Brooklyn, NY 11206-2501
Phone (718) 388-0390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F310554-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Network Inc Current Accepting new patients
Community Healthcare Network, Inc. CurrentSince Jan 30, 2024 Accepting new patients

Locations

1167 Nostrand Ave
Brooklyn, NY 11225
Phone (718) 778-0198

2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700

999 Blake Ave
Brooklyn, NY 11208
Phone (718) 277-8303

8944 164th St
Jamaica, NY 11432
Phone (718) 523-2123

3611 21st St
Long Island City, NY 11106
Phone (718) 482-7488

255 E Houston St
New York, NY 10002
Phone (212) 477-1120

44 W 28th St
Fl 5
New York, NY 10001
Phone (212) 545-2439

511 W 157th St
New York, NY 10032
Phone (212) 781-7979

60 Madison Ave
Fl 5
New York, NY 10010
Phone (212) 545-2400

81 W 115th St
New York, NY 10026
Phone (212) 426-0088

Networks

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1417616194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVENUE",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-98 MANHATTAN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112062505",
            "telephone_number": "718-388-0390",
            "fax_number": "718-486-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKER",
        "first_name": "BETH",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310554-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.