Individual provider Active NPI

Zoya Vernikova, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1679664171
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
203457 Issued in NY
Practice address
2424 Kings Hwy
Brooklyn, NY 11229-1669
Phone
(718) 338-9660
Fax
(718) 338-6559
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 203457 NY Primary

Addresses

Primary practice location

2424 Kings Hwy
Brooklyn, NY 11229-1669

Mailing address

365 Mayfair Dr S
Brooklyn, NY 11234-6930
Phone (917) 680-1150

Other identifiers 1

IdentifierTypeStateIssuer
01668148MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041006001513 NY Practitioner - Internal Medicine 1850350695 Practice locations: Brooklyn, NY
I20231010000771 FL Practitioner - Internal Medicine 1850350695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jupiter Island Medical Clinic IncGroup PAC ID 5193051464, 2 clinicians

Practice addresses (Care Compare)

100 Estrada SQ
Hobe Sound, FL 33455-2400
Phone (772) 546-3751

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203457NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Island Medical Clinic Inc CurrentSince Oct 3, 2023 Accepting new patients
A. Khodadadi Radiology P.C. Past Accepting new patients
Shnaydman Medical PC Internal Medicine PastSince Aug 6, 2023 Accepting new patients

Locations

100 Estrada Sq
Hobe Sound, FL 33455
Phone (772) 546-3751

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1679664171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MAYFAIR DR S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346930",
            "telephone_number": "917-680-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291669",
            "telephone_number": "718-338-9660",
            "fax_number": "718-338-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNIKOVA",
        "first_name": "ZOYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01668148",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.