Individual provider Active NPI

Hanna Zielnik, M.D.

  • Pediatrics Physician
  • Ridgewood, NY
National Provider Identifier
1740373166
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
222224 Issued in NY
Practice address
6049 69TH Ave
Ridgewood, NY 11385-5139
Phone
(718) 383-0301
Fax
(718) 336-1112
NPI assigned
Sep 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 222224 NY Primary

Addresses

Primary practice location

6049 69TH Ave
Ridgewood, NY 11385-5139

Mailing address

6049 69TH Ave
Ridgewood, NY 11385-5139
Phone (718) 383-0301

Other identifiers 1

IdentifierTypeStateIssuer
02240408MedicaidNY

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
I20230531002394 NY Practitioner - Pediatric Medicine 6800253279 Practice locations: Ridgewood, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222224NYMDPediatrics Physician

Networks

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

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1740373166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 69TH AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855139",
            "telephone_number": "718-383-0301",
            "fax_number": "718-336-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 69TH AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855139",
            "telephone_number": "718-383-0301",
            "fax_number": "718-336-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIELNIK",
        "first_name": "HANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "222224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02240408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

Verify at the official NPI Registry.