Individual provider Active NPI

Mara Lillian Zink, NP

  • Acute Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1780922948
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
430705 Issued in NY
Practice address
161 Fort Washington Ave FL 9
New York, NY 10032-3729
Phone
(646) 317-6626
Fax
(212) 305-6891
NPI assigned
Jan 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 615535 NY
Acute Care Nurse Practitioner 363LA2100X 430705 NY Primary
Registered Nurse 163W00000X 615535 NY

Addresses

Primary practice location

161 Fort Washington Ave FL 9
New York, NY 10032-3729

Mailing address

120 Edie Rd
Saratoga Springs, NY 12866-5426
Phone (914) 413-3395

Other practice location 1

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 833-6364

Other practice location 2

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550

Other names 1

  • Mara Berta Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130717000010 NY Practitioner - Nurse Practitioner 4789824699 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Columbia University College of Physicians and Surgeons, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

1 W Ave
Suite 300
Saratoga Springs, NY 12866-6050
Phone (518) 693-4699

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

3040 Route 50
Saratoga Springs, NY 12866-3073
Phone (518) 580-2273

3044 Route 50
Saratoga Springs, NY 12866-3073
Phone (518) 886-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
615535NYMDRegistered Nurse
430705NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 20, 2019 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Apr 2, 2023 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. CurrentSince Dec 27, 2021 Accepting new patients
Ellis Hospital CurrentSince Sep 29, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 20, 2019 Accepting new patients
Saratoga Hospital CurrentSince May 30, 2025 Accepting new patients
St. Peter'S Hospital of the City of Albany CurrentSince Apr 2, 2023 Accepting new patients
St. Peter'S Hospital of the City of Albany CurrentSince Apr 2, 2023 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Apr 2, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 20, 2019 Accepting new patients
Saratoga Hospital CurrentSince May 30, 2025 Accepting new patients
Burdett Orthopedics, PC PastSince Mar 1, 2010 Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

713 Troy Schenectady Rd
Ste 304
Latham, NY 12110
Phone (518) 373-4448

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

161 Fort Washington Ave
Fl 9
New York, NY 10032
Phone (212) 305-1945

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mzink1571471@direct.trinity-health.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 13

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 13

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1780922948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EDIE RD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665426",
            "telephone_number": "914-413-3395",
            "fax_number": "212-305-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT WASHINGTON AVE FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323729",
            "telephone_number": "646-317-6626",
            "fax_number": "212-305-6891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-833-6364",
            "fax_number": "518-271-3440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1550",
            "fax_number": "518-525-6545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZINK",
        "first_name": "MARA",
        "middle_name": "LILLIAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2023-03-06",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "615535",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430705",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "615535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARA",
            "last_name": "BERTA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.