Z Medical Nyc, P.C.

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

License

144699 Issued in NY

Legal business name

Z MEDICAL NYC, P.C.

Practice address

1702 Avenue Z
Suite 206
Brooklyn, NY 11235-3655

Phone

(646) 884-0133

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Donald Wallerson, M.D.

Title

Owner

Phone

(646) 884-0133

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1487026027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 AVENUE Z",
            "address_2": "SUITE 206",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353655",
            "telephone_number": "646-884-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 AVENUE Z",
            "address_2": "SUITE 206",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353655",
            "telephone_number": "646-884-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Z MEDICAL NYC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "WALLERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-884-0133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": "NY",
            "license": "144699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01042442",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Electrodiagnostic Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Electrodiagnostic Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.