Individual provider Active NPI

Igor Zubatov, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1740536564
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
655078-1 Issued in NY
Practice address
435 Neptune Ave
Apt. 5D
Brooklyn, NY 11224-4560
Phone
(718) 258-7228
NPI assigned
Jul 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 655078-1 NY Primary
Registered Nurse 163W00000X 26NR 16058300 NJ

Addresses

Primary practice location

435 Neptune Ave
Apt. 5D
Brooklyn, NY 11224-4560

Mailing address

435 Neptune Ave
Apt. 5D
Brooklyn, NY 11224-4560
Phone (718) 258-7228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR 16058300NJMDRegistered Nurse
655078-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1740536564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 NEPTUNE AVE",
            "address_2": "APT. 5D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244560",
            "telephone_number": "718-258-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NEPTUNE AVE",
            "address_2": "APT. 5D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244560",
            "telephone_number": "718-258-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBATOV",
        "first_name": "IGOR",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "655078-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR 16058300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.