Active NPI
Martin Zisblatt, M.D.
- Dermatology Physician
- Yorktown Heights, NY
National Provider Identifier
1932250388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 120762
- Practice address
- 3505 Hill Blvd
Yorktown Heights, NY 10598-1283 - Phone
- (914) 962-3413
- Fax
- (914) 962-4831
- NPI assigned
- Jan 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 120762 | NY | Primary |
Addresses
Primary practice location
3505 Hill Blvd
Yorktown Heights, NY 10598-1283
Mailing address
3505 Hill Blvd
Yorktown Heights, NY 10598-1283
Phone (914) 962-3413
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111213000763 | NY | Practitioner - Dermatology | 5294900668 | Practice locations: Yorktown Heights, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120762 | NY | MD | Dermatology Physician |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- martin.zisblatt@direct.hvhc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932250388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 HILL BLVD",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105981283",
"telephone_number": "914-962-3413",
"fax_number": "914-962-4831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 HILL BLVD",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105981283",
"telephone_number": "914-962-3413",
"fax_number": "914-962-4831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZISBLATT",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "120762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorktown Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.