Beth Ellen Zedeck, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

381796 Issued in NY

Practice address

219 E 121St St
New York, NY 10035-3018

Phone

(212) 987-5135

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821210782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAVEN AVE APT 3N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100335306",
            "telephone_number": "631-682-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E 121ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353018",
            "telephone_number": "212-987-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEDECK",
        "first_name": "BETH",
        "middle_name": "ELLEN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "381796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Raymond Zech, MD
• Ashley Zechender, PSY.D.
• Eitan Zecher, PHD
• Ilan Zechory, LMSW
• Elizabeth Cai Zeck
• Daniel L Zedeker, D.D.S.
• Kevin Zeh, LMT
• Elizabeth Zehe
• Greg Edward Zehner, PHARM D
• Lauren Elizabeth Zehner, LMSW

• Pediatric Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.