NPIMap

Individual provider Active NPI

Zan Mra, MD

  • Otolaryngology Physician
  • Brooklyn, NY
National Provider Identifier
1710050497
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
183223 Issued in NY
Practice address
1 Brookdale PLZ RM 178
Brooklyn, NY 11212-3139
Phone
(718) 240-5740
Fax
(718) 240-6612
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 183223 NY Primary

Addresses

Primary practice location

1 Brookdale PLZ RM 178
Brooklyn, NY 11212-3139

Mailing address

1 Brookdale PLZ RM 178
Brooklyn, NY 11212-3139
Phone (718) 240-5740

Other practice location 1

80th St & 41st Ave
Elmhurst, NY 11373-1329
Phone (718) 334-5970

Other practice location 2

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-6500

Other identifiers 1

IdentifierTypeStateIssuer
00246075MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110504000642 NY Practitioner - Otolaryngology 0840475976 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3131 Kings Hwy
Brooklyn, NY 11234-2644
Phone (718) 951-9007

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Hospital Medical Center CurrentSince Jul 1, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai Otolaryngology CurrentSince Aug 4, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2013 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC CurrentSince Jan 6, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Otolaryngology CurrentSince Jan 1, 2013 Accepting new patients
M. Rashid Chaudhry MD PC CurrentSince Jan 28, 2015 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Dec 12, 2015 Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Dec 12, 2015 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jul 1, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Be Well Primary Health Care Center, LLC CurrentSince Jun 1, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 4, 2019 Accepting new patients
New York Pulmonary & Sleep Medicine Consultant PLLC Past Accepting new patients

Locations

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

1 Brookdale Plz
Rm 178
Brooklyn, NY 11212
Phone (718) 240-5740

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Rm 157
Brooklyn, NY 11212
Phone (718) 240-6366

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

1615 Northern Blvd
Ste 201
Manhasset, NY 11030
Phone (516) 365-7952

1615 Northern Blvd
Manhasset, NY 11030
Phone (516) 627-3717

Networks

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

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710050497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ RM 178",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5740",
            "fax_number": "718-240-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ RM 178",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5740",
            "fax_number": "718-240-6612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80th St & 41st Ave",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731329",
            "country_code": "US",
            "telephone_number": "718-334-5970",
            "fax_number": "718-334-5958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-241-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MRA",
        "first_name": "ZAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "183223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.