Active NPI
Ralph Joseph Zwolinski, MD
- Neurology Physician
- Port Orange, FL
National Provider Identifier
1528049327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME 46005
- Practice address
- 5111 S Ridgewood Ave
Suite 102
Port Orange, FL 32127-5169 - Phone
- (386) 763-4484
- Fax
- (386) 763-1288
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 000046005 | FL | |
| Neurology Physician | 2084N0400X | ME 46005 | FL | Primary |
| Pain Medicine Physician | 208VP0000X | ME 46005 | FL | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | NE 46005 | FL |
Addresses
Primary practice location
5111 S Ridgewood Ave
Suite 102
Port Orange, FL 32127-5169
Mailing address
1673 Mason Ave
Suite 107
Daytona Beach, FL 32117-5515
Phone (386) 274-7118
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64543 | Other | FL | BC/BS |
| 098653400 | Medicaid | FM | |
| P00827133 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000046005 | FL | MD | Specialist |
| 28844 | FL | MD | Physical Medicine & Rehabilitation Physician |
| ME 46005 | FL | MD | Neurology Physician |
| NE 46005 | FL | MD | Pain Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology & Spine Disorders LLC | Neurology | Past | Accepting new patients |
| Halifax Healthcare Systems Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Neurology Physician
- Port Orange, FL
- NPI 1790008811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1528049327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1673 MASON AVE",
"address_2": "SUITE 107",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175515",
"telephone_number": "386-274-7118",
"fax_number": "386-274-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5111 S RIDGEWOOD AVE",
"address_2": "SUITE 102",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321275169",
"telephone_number": "386-763-4484",
"fax_number": "386-763-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWOLINSKI",
"first_name": "RALPH",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "000046005",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME 46005",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME 46005",
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "FL",
"license": "NE 46005",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "64543",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098653400",
"state": "FM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00827133",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.