NPIMap

Individual provider Active NPI

Todor Zlatanski, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Medford, NY
National Provider Identifier
1457648099
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
5388 Issued in NY
Practice address
1723 N Ocean Ave Ste a
Medford, NY 11763-2687
Phone
(631) 758-5858
NPI assigned
Jul 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 277459 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 5388 NY Primary

Addresses

Primary practice location

1723 N Ocean Ave Ste a
Medford, NY 11763-2687

Mailing address

1723 N Ocean Ave Ste a
Medford, NY 11763-2687
Phone (631) 758-5858

Other practice location 1

180 E Main St
Bay Shore, NY 11706-8427
Phone (631) 780-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150909001826 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 2062729965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

301 E Main St
2 North
Bay Shore, NY 11706-8408
Phone (631) 968-3293

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5388NYMDEndocrinology, Diabetes & Metabolism Physician
277459NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Jun 29, 2015 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jun 29, 2015 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jan 11, 2022 Accepting new patients
North Shore-Lij Medical PC Hospitalist CurrentSince Jan 11, 2022 Accepting new patients

Locations

301 E Main St
#2N
Bay Shore, NY 11706
Phone (631) 968-3293

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

1723 N Ocean Ave
Ste A
Medford, NY 11763
Phone (631) 758-5858

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: todorzlatanski@nslijmedgr.allscriptsdirect.net

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 5

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": "1309737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1457648099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 N OCEAN AVE STE A",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632687",
            "telephone_number": "631-758-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 N OCEAN AVE STE A",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632687",
            "telephone_number": "631-758-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117068427",
            "country_code": "US",
            "telephone_number": "631-780-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZLATANSKI",
        "first_name": "TODOR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-04",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "277459",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "5388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

Verify at the official NPI Registry.