Individual provider Active NPI

Zelimir Vukasin, MD

  • Psychiatry Physician
  • Jamaica, NY
National Provider Identifier
1861542540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
207937 Issued in NY
Practice address
14732 Jamaica Ave
Jamaica, NY 11435-4042
Phone
(718) 526-8400
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 207937 NY Primary

Addresses

Primary practice location

14732 Jamaica Ave
Jamaica, NY 11435-4042

Mailing address

85-29 66TH Ave
Rego Park, NY 11374
Phone (718) 730-9038

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080307000344 NY Practitioner - Psychiatry 0446335939 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207937NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Services for New York, Inc CurrentSince Mar 21, 2002 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Jun 1, 2021 Accepting new patients
Transitional Services for New York,Inc. PastSince Mar 21, 2002 Accepting new patients
Mental Health Providers of Western Queens, Inc. Past Accepting new patients

Locations

9027 Sutphin Blvd
Ste 5
Jamaica, NY 11435
Phone (718) 526-8400

14732 Jamaica Ave
Jamaica, NY 11435
Phone (718) 206-2002

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

1016 162nd St
Whitestone, NY 11357
Phone (718) 746-6647

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861542540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85-29 66TH AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-730-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14732 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354042",
            "telephone_number": "718-526-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUKASIN",
        "first_name": "ZELIMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "207937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.