Individual provider Active NPI

Deyuan Zeng

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1851056113
Registry record updated Nov 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
068483 Issued in NY
Practice address
2170 86TH St
Brooklyn, NY 11214-3213
Phone
(347) 587-6275
NPI assigned
Nov 2, 2021
Last updated
Nov 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 068483 NY Primary

Addresses

Primary practice location

2170 86TH St
Brooklyn, NY 11214-3213

Mailing address

2170 86TH St
Brooklyn, NY 11214-3213
Phone (347) 587-6275

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

State licenses

LicenseStateTypeSpecialty
068483NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
86 Bobo Pharmacy Inc CurrentSince Nov 13, 2022 Accepting new patients

Locations

2170 86th St
Brooklyn, NY 11214
Phone (347) 587-6275

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667692800000",
    "number": "1851056113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143213",
            "telephone_number": "347-587-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143213",
            "telephone_number": "347-587-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENG",
        "first_name": "DEYUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "068483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2022; 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.