Individual provider Active NPI

Zachah Koufalis

  • Social Worker
  • Bronx, NY
National Provider Identifier
1598613713
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
073873 Issued in NY
Practice address
1 Bedford Park Blvd E
Bronx, NY 10468-1771
Phone
(332) 298-3502
NPI assigned
Mar 21, 2026
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 073873 NY Primary

Addresses

Primary practice location

1 Bedford Park Blvd E
Bronx, NY 10468-1771

Mailing address

36 Pengilly Dr
New Rochelle, NY 10804-3016

Other names 1

  • Zachah German Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
073873NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1774051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1598613713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PENGILLY DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108043016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BEDFORD PARK BLVD E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681771",
            "telephone_number": "332-298-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUFALIS",
        "first_name": "ZACHAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-21",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "073873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZACHAH",
            "last_name": "GERMAN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.