Individual provider Active NPI

Natalie Maryanovsky - Zelenko, M.D.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1871770057
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
247539 Issued in NY
Practice address
4802 10TH Ave
Department of Radiology
Brooklyn, NY 11219-2916
Phone
(718) 283-7117
NPI assigned
Jan 30, 2008
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 247539 NY Primary

Addresses

Primary practice location

4802 10TH Ave
Department of Radiology
Brooklyn, NY 11219-2916

Mailing address

104 Girard St
Brooklyn, NY 11235-3010
Phone (646) 335-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090518000446 NY Practitioner - Diagnostic Radiology 0648329813 Reassigns benefits to 5 organizations
I20260320003203 FL Practitioner - Diagnostic Radiology 0648329813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1300 Ave P
Brooklyn, NY 11229-1106
Phone (718) 376-1004

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 630-7000

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

160 E 34TH St
New York, NY 10016-4744
Phone (212) 263-7300

180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (516) 747-8900

6915 Austin St
Forest Hills, NY 11375-4255
Phone (718) 544-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247539NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jul 3, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
New York University CurrentSince Apr 1, 2024 Accepting new patients
New York University CurrentSince Apr 1, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 28, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 28, 2024 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology CurrentSince May 1, 2009 Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

227 Madison St
New York, NY 10002
Phone (212) 238-7000

50 Water St
Fl 3
New York, NY 10004

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Interoperability endpoints

  • Direct secure messaging: nataliezelenko@mai.allscriptsdirect.net
  • Direct secure messaging: nzelenko631728@nyumc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1871770057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GIRARD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353010",
            "telephone_number": "646-335-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARYANOVSKY - ZELENKO",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "247539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.