Individual provider Active NPI

Zlatko Zukich, FNP

  • Family Nurse Practitioner
  • Cortland, NY
National Provider Identifier
1548935513
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352160 Issued in NY
Practice address
28 Kellogg Rd
Cortland, NY 13045-3113
Phone
(607) 753-6060
Fax
(607) 208-6469
NPI assigned
Aug 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 352160 NY Primary

Addresses

Primary practice location

28 Kellogg Rd
Cortland, NY 13045-3113

Mailing address

28 Kellogg Rd
Cortland, NY 13045-3113

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718000061 NY Practitioner - Nurse Practitioner 4981064391 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Long Term Medical Care of New York, PLLC CurrentSince Mar 8, 2025 Accepting new patients

Locations

40 Heyward St
Brooklyn, NY 11249
Phone (212) 727-9997

7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1548935513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 KELLOGG RD",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 KELLOGG RD",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453113",
            "telephone_number": "607-753-6060",
            "fax_number": "607-208-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUKICH",
        "first_name": "ZLATKO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.