Simon Muaka Nzuzi, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

NOO3037 Issued in NY

Practice address

20507 Hillside Ave
Suite 18
Hollis, NY 11423-2220

Phone

(718) 479-7993

Fax

(212) 410-8440

NPI assigned

Apr 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 10

Other names 1

• Mrs. Bernadette Ntoya Nzuzi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jeffrey Howard Litwin

  • Durable Medical Equipment & Medical Supplies
  • Hollis, NY
  • NPI 1578545695

  Podiatrist

  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1467414896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12118 LAURELTON PKWY",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221047",
            "telephone_number": "212-410-8069",
            "fax_number": "212-410-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20507 HILLSIDE AVE",
            "address_2": "SUITE 18",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232220",
            "telephone_number": "718-479-7993",
            "fax_number": "212-410-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NZUZI",
        "first_name": "SIMON",
        "middle_name": "MUAKA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "NOO3037",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N003037",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NUMBER",
            "identifier": "0046447",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA-MEDICARE",
            "identifier": "#0276134",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "115,  119,  65",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PLANS",
            "identifier": "MPI:28980",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTER CARE PROVIDER NUMB",
            "identifier": "SP13669",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PROVIDER NUMBER",
            "identifier": "396200P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PLANS",
            "identifier": "0029644  P-64   P110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLEU CROSS/BLEU SHIELD",
            "identifier": "P34003SN",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER-COMPENSATION",
            "identifier": "P.3037-0",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNADETTE",
            "last_name": "NZUZI",
            "middle_name": "NTOYA",
            "prefix": "MRS.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nora Family Denta
• Michael Joseph Novack
• Micheline Numa, OTR
• Dinah Nurilov, PA
• Nyhmcq-Hollis Women Center
• Obi N Nwasokwa, MD, PHD, PC
• Durojaiye Shadrach Ojetayo, P.T
• Idemudia Ojigbede, RN
• Emeka E Okeke, MD
• Adetinuke Olowoyo

• Podiatrist in Hollis, NY
• Providers in Hollis, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.