Individual provider Active NPI

Miguel Angel Zinny, M.D.

  • Gastroenterology Physician
  • Brighton, MA
National Provider Identifier
1487649968
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
37168 Issued in MA
Practice address
11 Nevins St. Suite 402
Brighton, MA 02135
Phone
(617) 462-5432
Fax
(617) 789-5049
NPI assigned
Sep 12, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 37168 MA Primary

Addresses

Primary practice location

11 Nevins St. Suite 402
Brighton, MA 02135

Mailing address

11 Nevins St
Suite 402
Brighton, MA 02135-3514
Phone (617) 562-5432

Other identifiers 1

IdentifierTypeStateIssuer
2030802MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caritas Medical Group, Inc. Current Accepting new patients
Caritas St. Elizabeth's Medical Center Past Accepting new patients

Locations

11 Nevins St
Ste 202
Brighton, MA 02135
Phone (617) 254-9991

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

11 Nevins St
Ste 401
Brighton, MA 02135
Phone (617) 682-7788

11 Nevins St
Ste 402
Brighton, MA 02135
Phone (617) 562-5432

11 Nevins St
Ste 304
Brighton, MA 02135
Phone (617) 562-0500

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Organizations & group practices 2

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487649968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NEVINS ST",
            "address_2": "SUITE 402",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353514",
            "telephone_number": "617-562-5432",
            "fax_number": "617-789-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NEVINS ST. SUITE 402",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-462-5432",
            "fax_number": "617-789-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINNY",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "37168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030802",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.