Individual provider Active NPI

Israel Zyskind, MD

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1760694673
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
238776 Issued in NY
Practice address
3411 Avenue L
Brooklyn, NY 11210-5441
Phone
(718) 998-8090
Fax
(718) 858-1002
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA10597300 NJ
Pediatrics Physician 208000000X 238776 NY Primary

Addresses

Primary practice location

3411 Avenue L
Brooklyn, NY 11210-5441

Mailing address

3411 Avenue L
Brooklyn, NY 11210-5441
Phone (718) 998-8090

Other practice location 1

886 River Ave
Lakewood, NJ 08701-5282
Phone (732) 523-5000

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
I20260529002940 NY Practitioner - Pediatric Medicine 3779844212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4406 12TH Ave
Brooklyn, NY 11219-1094

620 Foster Ave
Suite 200
Brooklyn, NY 11230-1389

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10597300NJMDPediatrics Physician
238776NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precious Health Medical P.C. Pediatrics CurrentSince Feb 1, 2022 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Premium Health Inc Past Accepting new patients
Precious Health of Lakewood, PC Pediatrics Past Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: israelzyskind@mai.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nyack Ridge Rehabilitation and Nursing CenterValley Cottage, NY, CCN 335365 Skilled nursing facility 5% Or Greater Direct Ownership Interest (2.5%)
Corporate Officer (2.5%)
Apr 1, 2023
Nov 25, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1760694673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105441",
            "telephone_number": "718-998-8090",
            "fax_number": "718-858-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105441",
            "telephone_number": "718-998-8090",
            "fax_number": "718-858-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "886 River Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087015282",
            "country_code": "US",
            "telephone_number": "732-523-5000",
            "fax_number": "325-234-9957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZYSKIND",
        "first_name": "ISRAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10597300",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "238776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.