Marie Judith Zephirin, REGISTERED NURSE

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

592422 Issued in NY

Practice address

612 Nimrod CT
North Babylon, NY 11703-1502

Phone

(631) 455-4465

NPI assigned

Feb 11, 2020

Last updated

Feb 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1710519327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 NIMROD CT",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031502",
            "telephone_number": "631-455-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 NIMROD CT",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031502",
            "telephone_number": "631-455-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPHIRIN",
        "first_name": "MARIE",
        "middle_name": "JUDITH",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "592422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "zephirinm@jcca.ny.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "JCCA",
            "address_2": "870 EAST 29TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Winthrop Community Medical Affiliates, P.C. (Long Island Medical Care Services)
• Winthrop Community Medical Affiliates, PC (Winthrop Medical Affiliates at North Babylon)
• WW Medical Wellness PLLC
• Xtramile LLC (Xtramile Nursing Services)
• Laraib Zahid
• Gerald A. Zimmerman, RPH
• Kim Zubrinic, MD

• General Practice Registered Nurse in North Babylon, NY
• Providers in North Babylon, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.