Individual provider Active NPI

Joel Zdanowitz, M.D.

  • Specialist
  • Forest Hills, NY
National Provider Identifier
1497767974
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
161928-1 Issued in NY
Practice address
10837 71St Ave
Forest Hills, NY 11375-4566
Phone
(718) 520-1800
Fax
(718) 544-3800
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 161928-1 NY Primary
Internal Medicine Physician 207R00000X 161928-1 NY
Hematology (Internal Medicine) Physician 207RH0000X 161928-1 NY
Medical Oncology Physician 207RX0202X 161928-1 NY
Hematology & Oncology Physician 207RH0003X 161928-1 NY

Addresses

Primary practice location

10837 71St Ave
Forest Hills, NY 11375-4566

Mailing address

10837 71St Ave
Forest Hills, NY 11375-4566
Phone (718) 520-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020001238 NY Practitioner - Internal MedicinePractitioner - Hematology/Oncology 7911030523 Practice locations: Brooklyn, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161928-1NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1497767974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10837 71ST AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754566",
            "telephone_number": "718-520-1800",
            "fax_number": "718-544-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 71ST AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754566",
            "telephone_number": "718-520-1800",
            "fax_number": "718-544-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDANOWITZ",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "161928-1",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "161928-1",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NY",
            "license": "161928-1",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "161928-1",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "161928-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.