Individual provider Active NPI

Dennis Zoda, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1447297247
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216808-1 Issued in NY
Practice address
19 Schermerhorn St
Brooklyn, NY 11201-4802
Phone
(718) 237-2495
Fax
(718) 228-7116
NPI assigned
Jun 1, 2006
Last updated
Mar 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 216808-1 NY Primary

Addresses

Primary practice location

19 Schermerhorn St
Brooklyn, NY 11201-4802

Mailing address

19 Schermerhorn St
Brooklyn, NY 11201-4802
Phone (718) 237-2495

Other identifiers 1

IdentifierTypeStateIssuer
02582387MedicaidNY

Other names 1

  • Dr. Dennis Zoda Professional name

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
I20040505001780 NY Practitioner - Internal MedicinePractitioner - Family Practice 6204824303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vantage Medical Associates PCGroup PAC ID 0547673816, 84 clinicians

Practice addresses (Care Compare)

1612 Central Ave
Suite 201
Far Rockaway, NY 11691-4002
Phone (516) 792-1600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216808-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emusc, LLC CurrentSince Oct 1, 2024 Accepting new patients
MK Healthcare Medical PC CurrentSince Aug 1, 2019 Accepting new patients
Vantage Medical Associates PC CurrentSince Apr 1, 2025 Accepting new patients
VR Leddy, M.D., P.C. Internal Medicine Past Accepting new patients
Robert Rothstein, MD PC Past Accepting new patients
Focus Medical Health PLLC Internal Medicine Past Accepting new patients

Locations

160 4th St
Ste 1
Brentwood, NY 11717
Phone (631) 273-7105

1612 Central Ave
Far Rockaway, NY 11691
Phone (718) 223-5820

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

5629 Metropolitan Ave
Ridgewood, NY 11385
Phone (718) 418-0300

13124 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 322-3261

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.denniszoda@136290.advancedmd-direct.com

Organizations & group practices 7

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1447297247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SCHERMERHORN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014802",
            "telephone_number": "718-237-2495",
            "fax_number": "718-228-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SCHERMERHORN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014802",
            "telephone_number": "718-237-2495",
            "fax_number": "718-228-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZODA",
        "first_name": "DENNIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216808-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02582387",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "ZODA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.