Active NPI
Zornitza Vezenkov, D.O
- Ophthalmology Physician
- Rego Park, NY
National Provider Identifier
1669622114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 245744
- Practice address
- 6509 99TH St Apt 6Q
Rego Park, NY 11374-3530 - Phone
- (718) 801-7482
- NPI assigned
- Sep 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 245744 | NY | Primary |
Addresses
Primary practice location
6509 99TH St Apt 6Q
Rego Park, NY 11374-3530
Mailing address
6509 99TH St Apt 6Q
Rego Park, NY 11374-3530
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245744 | NY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221955200000",
"number": "1669622114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6509 99TH ST APT 6Q",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6509 99TH ST APT 6Q",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743530",
"telephone_number": "718-801-7482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEZENKOV",
"first_name": "ZORNITZA",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-21",
"last_updated": "2008-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "245744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.