Individual provider Active NPI

Ann Krystyn Zonca, MS,RD,CDN,LDN

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1780969899
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
881783 Issued in NY
Practice address
421 W 56TH St
Apt #3C
New York, NY 10019-3607
Phone
(773) 294-7133
Fax
(856) 344-1438
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 881783 NY Primary
Registered Dietitian 133V00000X 164005280 IL
Registered Dietitian 133V00000X 006946 NY

Addresses

Primary practice location

421 W 56TH St
Apt #3C
New York, NY 10019-3607

Mailing address

421 W 56TH St
Apt #3C
New York, NY 10019-3607
Phone (773) 294-7133

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
Master of Science

State licenses

LicenseStateTypeSpecialty
164005280ILMDRegistered Dietitian
881783NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1780969899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W 56TH ST",
            "address_2": "APT #3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193607",
            "telephone_number": "773-294-7133",
            "fax_number": "856-344-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W 56TH ST",
            "address_2": "APT #3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193607",
            "telephone_number": "773-294-7133",
            "fax_number": "856-344-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZONCA",
        "first_name": "ANN",
        "middle_name": "KRYSTYN",
        "name_prefix": "Ms.",
        "credential": "MS,RD,CDN,LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "881783",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164005280",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.