Individual provider Active NPI

Hallie Y Zwibel, D.O.

  • Family Medicine Physician
  • Old Westbury, NY
National Provider Identifier
1689960049
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
267827 Issued in NY
Practice address
Nyit Ahcc Northern Blvd. #800
Old Westbury, NY 11569
Phone
(516) 686-1300
Fax
(515) 686-7890
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 267827 NY Primary

Addresses

Primary practice location

Nyit Ahcc Northern Blvd. #800
Old Westbury, NY 11569

Mailing address

Nyit Ahcc Northern Blvd. #8000
Old Westbury, NY 11568
Phone (516) 686-1300

Other names 1

  • Hallie Zwibel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141215000052 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1557683992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Institute of TechnologyGroup PAC ID 3779496039, 42 clinicians

Practice addresses (Care Compare)

600 Northern Blvd
Greenvale, NY 11548-1214
Phone (516) 686-1300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Institute of Technology Family Medicine CurrentSince Jun 1, 2015 Accepting new patients
New York Institute of Technology Family Medicine Current Accepting new patients
New York Institute of Technology Family Medicine CurrentSince Jun 1, 2015 Accepting new patients

Locations

267 Carleton Ave
Central Islip, NY 11722
Phone (631) 348-3254

600 Northern Blvd
Greenvale, NY 11548
Phone (516) 686-3849

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: hallie.zwibel@nyitahcc.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1689960049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NYIT AHCC NORTHERN BLVD. #8000",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "11568",
            "telephone_number": "516-686-1300",
            "fax_number": "516-686-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NYIT AHCC NORTHERN BLVD. #800",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "11569",
            "telephone_number": "516-686-1300",
            "fax_number": "515-686-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWIBEL",
        "first_name": "HALLIE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "267827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALLIE",
            "last_name": "ZWIBEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Old Westbury, NY

Sources for this page

Verify at the official NPI Registry.