Active NPI
Rachel Haya Zylberberg, MD
- Pediatrics Physician
- Blacklick, OH
National Provider Identifier
1912080516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-046550-Z
- Practice address
- 7340 East Broad St
Blacklick, OH 43004 - Phone
- (614) 322-9720
- Fax
- (614) 322-9725
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 35-046550-Z | OH | |
| Pediatrics Physician | 208000000X | 35-046550-Z | OH | Primary |
Addresses
Primary practice location
7340 East Broad St
Blacklick, OH 43004
Mailing address
7340 East Broad St
Blacklick, OH 43004
Phone (614) 322-9720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0641541 | Medicaid | OH |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-046550-Z | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1912080516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7340 EAST BROAD ST",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "43004",
"telephone_number": "614-322-9720",
"fax_number": "614-322-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7340 EAST BROAD ST",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "43004",
"telephone_number": "614-322-9720",
"fax_number": "614-322-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZYLBERBERG",
"first_name": "RACHEL",
"middle_name": "HAYA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OH",
"license": "35-046550-Z",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-046550-Z",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0641541",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blacklick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.