Organization Active NPI

Vladimir Zev Zelenko MD PC.

  • Family Medicine Physician
  • Pomona, NY
National Provider Identifier
1902436827
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VLADIMIR ZEV ZELENKO MD PC.
Practice address
1540 Route 202 Ste 7
Pomona, NY 10970-2922
Phone
(845) 782-0000
NPI assigned
Jan 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Authorized official

Name
Vladimir Zelenko, MD
Title
MD
Phone
(845) 782-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1540 Route 202 Ste 7
Pomona, NY 10970-2922

Mailing address

745 State Route 17M Ste 770
Monroe, NY 10950-2660
Phone (845) 782-0000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1902436827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 STATE ROUTE 17M STE 770",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502660",
            "telephone_number": "845-782-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 ROUTE 202 STE 7",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702922",
            "telephone_number": "845-782-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLADIMIR ZEV ZELENKO MD PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "ZELENKO",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "845-782-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.