Zziwa Adult Clinical Practice PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R133308 Issued in MD

Legal business name

ZZIWA ADULT CLINICAL PRACTICE PC

Practice address

4404 Wynfield Dr
Owings Mills, MD 21117-7141

Phone

(443) 522-0383

Fax

(443) 836-2415

NPI assigned

Sep 8, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Iryne Zziwa-Kabenge, MSN, CRNP

Title

Director

Phone

(443) 522-0383

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Z-Adult Clinical Practice Doing business as

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1831567890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 WYNFIELD DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211177141",
            "telephone_number": "443-522-0383",
            "fax_number": "443-836-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 WYNFIELD DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211177141",
            "telephone_number": "443-522-0383",
            "fax_number": "443-836-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZZIWA ADULT CLINICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "ZZIWA-KABENGE",
        "authorized_official_first_name": "IRYNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-522-0383",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R133308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049292200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "231502YXU",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Z-Adult Clinical Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Z-Adult Clinical Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Zimbalist, OD
• Chandler Zincke-Byer, PSYCHOLOGY ASSOCIATE
• Harlan K Zinn
• Robert E Zissel, LCPC
• Zonetak Healthcare and

• Primary Care Clinic/Center in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.