Organization Active NPI

Daniel F Zinicola PC

  • Family Medicine Physician
  • Rocky Point, NC
National Provider Identifier
1801855036
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DANIEL F ZINICOLA PC
Practice address
27 Commerce Dr
Rocky Point, NC 28457-7871
Phone
(910) 675-8089
Fax
(910) 675-8103
NPI assigned
Mar 17, 2006
Last updated
Jan 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Dr. Daniel Francis Zinicola, M.D.NPI 1811991219
Title
Owner
Phone
(910) 675-8089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

27 Commerce Dr
Rocky Point, NC 28457-7871

Mailing address

27 Commerce Dr
Rocky Point, NC 28457-7871
Phone (910) 675-8089

Other identifiers 2

IdentifierTypeStateIssuer
0228WOtherNCNCBLUECROSSBLUESHIELD
790228WMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100119000770 NC Part B Supplier - Clinic/Group Practice 2062554728 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Point, NC

National Provider Directory

National Provider Directory

Locations

27 Commerce Dr
Rocky Point, NC 28457
Phone (910) 675-8087

27 Commerce Dr
Ste A
Rocky Point, NC 28457

Interoperability endpoints

  • Direct secure messaging: danielzinicola@dzpc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1801855036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COMMERCE DR",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284577871",
            "telephone_number": "910-675-8089",
            "fax_number": "910-675-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 COMMERCE DR",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284577871",
            "telephone_number": "910-675-8089",
            "fax_number": "910-675-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL F ZINICOLA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "ZINICOLA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-675-8089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBLUECROSSBLUESHIELD",
            "identifier": "0228W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790228W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.