Individual provider Active NPI

Elda Ziko, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1639580301
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F40356601 Issued in NY
Practice address
3055 3Rd Ave
Bronx, NY 10451-4857
Phone
(718) 655-1000
Fax
(718) 975-8502
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F40356601 NY Primary
Family Nurse Practitioner 363LF0000X 584357 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00812600 NJ

Addresses

Primary practice location

3055 3Rd Ave
Bronx, NY 10451-4857

Mailing address

172 Bathgate St Ste 201
Staten Island, NY 10312-6021
Phone (718) 551-5719

Other practice location 1

3 Millwood Ct
Jamesburg, NJ 08831-3210
Phone (718) 551-5719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170329002554 NY Practitioner - Nurse Practitioner 0941585152 Reassigns benefits to 4 organizations
I20230718000557 NJ Practitioner - Nurse Practitioner 0941585152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elangovan Psychiatric Services PLLCGroup PAC ID 2860867447, 6 clinicians

Practice addresses (Care Compare)

172 Bathgate St
Staten Island, NY 10312-6021
Phone (718) 551-5719

1756 Richmond Ave
Staten Island, NY 10314-3902
Phone (718) 477-5670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
584357NYMDFamily Nurse Practitioner
F40356601NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elangovan Psychiatric Services LLC CurrentSince Apr 19, 2022 Accepting new patients
Elangovan Psychiatric Services PLLC CurrentSince May 22, 2023 Accepting new patients
Ziko Nurse Practitioner in Family Health PC Family CurrentSince Jan 1, 2023 Accepting new patients
Block Institute, Inc. CurrentSince Oct 2, 2017 Accepting new patients

Locations

470 Prospect Ave
Ste 102
West Orange, NJ 07052
Phone (973) 325-4100

2214 Stillwell Ave
Brooklyn, NY 11223
Phone (718) 372-7227

9920 4th Ave
Brooklyn, NY 11209
Phone (718) 238-9873

376 Bay 44th St
Brooklyn, NY 11214
Phone (718) 906-5400

1756 Richmond Ave
Staten Island, NY 10314
Phone (718) 370-3581

Organizations & group practices 4

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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1639580301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 BATHGATE ST STE 201",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126021",
            "telephone_number": "718-551-5719",
            "fax_number": "718-975-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514857",
            "telephone_number": "718-655-1000",
            "fax_number": "718-975-8502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Millwood Ct",
            "address_purpose": "LOCATION",
            "city": "Jamesburg",
            "state": "NJ",
            "postal_code": "088313210",
            "country_code": "US",
            "telephone_number": "718-551-5719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIKO",
        "first_name": "ELDA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F40356601",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "584357",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00812600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.