Individual provider Active NPI

Michael Ivan Zelenetz, M.D.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1457565640
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
237129 Issued in NY
Practice address
215 E 95TH St
New York, NY 10128-4077
Phone
(212) 996-8000
Fax
(212) 423-3904
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 237129 NY Primary

Addresses

Primary practice location

215 E 95TH St
New York, NY 10128-4077

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

447 Atlantic Ave
Brooklyn, NY 11217-1702
Phone (718) 858-6300

Other practice location 2

260 W Sunrise Hwy Ste 200
Valley Stream, NY 11581-1015
Phone (516) 825-3600

Other practice location 3

215 W 125th St Fl 2
New York, NY 10027-4426
Phone (212) 491-2400

Other practice location 4

140-15 Sanford Ave
Flushing, NY 11355-2686
Phone (718) 670-6400

Other practice location 5

4161 Kissena Blvd Fl 1
Flushing, NY 11355-3181
Phone (718) 670-6400

Other identifiers 1

IdentifierTypeStateIssuer
02968418MedicaidNY

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
I20080319000629 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7315023165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

14015 Sanford Ave
Flushing, NY 11355-2686
Phone (718) 670-6400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy91
Upper gastrointestinal (GI) endoscopy for acid reflux41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237129NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jun 26, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Jun 26, 2017 Accepting new patients
Brooklyn Gastroenterology and Endoscopy PLLC Gastroenterology CurrentSince Jul 1, 2008 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

447 Atlantic Ave
Brooklyn, NY 11217
Phone (718) 421-2131

14015 Sanford Ave
Flushing, NY 11355
Phone (718) 670-6400

55 Water St
Fl 2
New York, NY 10041

215 W 125th St
New York, NY 10027
Phone (212) 491-2400

215 E 95th St
New York, NY 10128
Phone (212) 423-3111

590 5th Ave
New York, NY 10036
Phone (212) 582-7117

52 Duane St
New York, NY 10007
Phone (646) 680-1595

215 W 125th St
Fl 2
New York, NY 10027
Phone (212) 491-2400

260 W Sunrise Hwy
Ste 200
Valley Stream, NY 11581
Phone (516) 825-3600

260 W Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 791-4600

Networks

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

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: mzelenetz3657@direct.acpny.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1457565640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 95TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284077",
            "telephone_number": "212-996-8000",
            "fax_number": "212-423-3904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112171702",
            "country_code": "US",
            "telephone_number": "718-858-6300",
            "fax_number": "718-858-0145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 W Sunrise Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115811015",
            "country_code": "US",
            "telephone_number": "516-825-3600",
            "fax_number": "516-823-2051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 W 125th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274426",
            "country_code": "US",
            "telephone_number": "212-491-2400",
            "fax_number": "212-491-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140-15 Sanford Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552686",
            "country_code": "US",
            "telephone_number": "718-670-6400",
            "fax_number": "718-663-5008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4161 Kissena Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113553181",
            "country_code": "US",
            "telephone_number": "718-670-6400",
            "fax_number": "718-943-2533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELENETZ",
        "first_name": "MICHAEL",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "237129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02968418",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.