Active NPI
Javier Zelaya, MD PC
- Dermatology Physician
- Brooklyn, NY
National Provider Identifier
1487786349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 187832
- Legal business name
- JAVIER ZELAYA, MD PC
- Practice address
- 254 Prospect Park W
Brooklyn, NY 11215-5806 - Phone
- (718) 832-3313
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Javier Arturo Zelaya, MD
- Title
- President
- Phone
- (718) 832-3313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 187832 | NY | Primary |
Addresses
Primary practice location
254 Prospect Park W
Brooklyn, NY 11215-5806
Mailing address
254 Prospect Park W
Brooklyn, NY 11215-5806
Phone (718) 832-3313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
254 Prospect Park W
Brooklyn, NY 11215
Phone (718) 208-4501
6077 Fresh Pond Rd
Maspeth, NY 11378
Phone (347) 808-6444
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Brooklyn, NY
- NPI 1760494355
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1497377113
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1790151546
-
- Physician Assistant
- Staten Island, NY
- NPI 1851630693
-
- Physician Assistant
- Kirkland, WA
- NPI 1285166397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339977600000",
"number": "1487786349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 PROSPECT PARK W",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155806",
"telephone_number": "718-832-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 PROSPECT PARK W",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155806",
"telephone_number": "718-832-3313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAVIER ZELAYA, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2012-06-18",
"status": "A",
"authorized_official_last_name": "ZELAYA",
"authorized_official_first_name": "JAVIER",
"authorized_official_middle_name": "ARTURO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-832-3313",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NY",
"license": "187832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.