Individual provider Active NPI

Zinovy Kozlov, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Rahway, NJ
National Provider Identifier
1679505002
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
MA-048011 Issued in NJ
Practice address
1044 E Hazelwood Ave
Rahway, NJ 07065-5818
Phone
(732) 381-3636
Fax
(732) 381-5977
NPI assigned
Jul 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MA-048011 NJ Primary

Addresses

Primary practice location

1044 E Hazelwood Ave
Rahway, NJ 07065-5818

Mailing address

15 Laura LN
Morristown, NJ 07960-6426
Phone (973) 539-0225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA-048011NJMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Li Medical Group PLLC CurrentSince Oct 1, 2022 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Associates,PC CurrentSince Sep 1, 2017 Accepting new patients
Statmd Physicians, PLLC CurrentSince Apr 13, 2017 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 1, 2017 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Sep 1, 2017 Accepting new patients
St Johns Emergency Medical Services PC Past Accepting new patients

Locations

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

2090 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 352-7828

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679505002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LAURA LN",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606426",
            "telephone_number": "973-539-0225",
            "fax_number": "732-381-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 E HAZELWOOD AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070655818",
            "telephone_number": "732-381-3636",
            "fax_number": "732-381-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOV",
        "first_name": "ZINOVY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NJ",
            "license": "MA-048011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

Verify at the official NPI Registry.