Jennifer Amanda Zocca, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

278201 Issued in NY

Practice address

90 Maiden LN
FL 3
New York, NY 10038-4831

Phone

(646) 290-9560

Fax

(212) 532-4362

NPI assigned

May 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Pain Management

Education

Georgetown University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Maiden Lane Medical PLLCGroup PAC ID 2365728698, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEDBDA

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.

• Maiden Lane Medical, PLLC

  • Gynecology Physician
  • New York, NY
  • NPI 1497291074
  Medicare reassignment Care Compare group NPD
• Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC

  • Gynecology Physician
  • New York, NY
  • NPI 1710022140
  NPD (past)

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

{
    "created_epoch": "1304208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1780975326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAIDEN LN",
            "address_2": "FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384831",
            "telephone_number": "646-290-9560",
            "fax_number": "212-532-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIDEN LN",
            "address_2": "FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384831",
            "telephone_number": "646-290-9560",
            "fax_number": "212-532-4362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 N Broadway",
            "address_2": "Suite 308",
            "address_purpose": "LOCATION",
            "city": "Sleepy Hollow",
            "state": "NY",
            "postal_code": "105911000",
            "country_code": "US",
            "telephone_number": "914-269-1780",
            "fax_number": "914-269-1781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOCCA",
        "first_name": "JENNIFER",
        "middle_name": "AMANDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-01",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "278201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Ariel Zlotolow, MD
• Annie Zlotowitz
• Nora Zmuidins, CRNA
• Eleni Zobolas, NP
• Jaclyn Zocca, PSYD
• Vanessa Zocchia
• Lisa Zoeller
• Sara Zoeterman, PH.D.
• Karina F Zofrin
• Lily Zogbaum

• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.