E Zappi Dermatopathology Lab Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

E ZAPPI DERMATOPATHOLOGY LAB INC.

Practice address

6311 Queens Blvd
Woodside, NY 11377-5764

Phone

(718) 458-7400

Fax

(718) 478-8940

NPI assigned

Oct 3, 2006

Last updated

Oct 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eduardo Zappi, MD

Title

President

Phone

(718) 458-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1649364936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775764",
            "telephone_number": "718-458-7400",
            "fax_number": "718-478-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775764",
            "telephone_number": "718-458-7400",
            "fax_number": "718-478-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E ZAPPI DERMATOPATHOLOGY LAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "ZAPPI",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-458-7400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00382370",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Dunnder Leacock, MD
• Lan Ngoc Duong
• Meral Duran, DNP, RN, FNP-BC
• Helen Stephanie Dwork, LMSW
• Dynamic Physical Therapy of Queens PLLC (Dynamic PT of Queens)
• East Coast Family Health NP PC
• Rossanna Echegoyen, LCSW
• John Benjamin Edwards
• Kristin Ann Eggers, PT, DPT
• Elal Car Limo Service LLC (Fifth Avenue Car Limo)

• Clinical Medical Laboratory in Woodside, NY
• Providers in Woodside, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.