Individual provider Active NPI

Ilana Ann Zablozki-Amir, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
National Provider Identifier
1962547281
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
213726 Issued in NY
Practice address
3311 Shore Pkwy
Suite Madison FF
Brooklyn, NY 11235-3956
Phone
(718) 648-0888
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 213726 NY Primary

Addresses

Primary practice location

3311 Shore Pkwy
Suite Madison FF
Brooklyn, NY 11235-3956

Mailing address

3311 Shore Parkway
Suite FF
Brooklyn, NY 11235-3937
Phone (718) 676-4607

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
I20151002001080 NY Order and Referring Only - Physical Medicine and RehabilitationPractitioner - Physical Medicine and Rehabilitation 5294043790

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Physical Therapy P.C. Past Accepting new patients
Madison Physical Therapy PastSince Jan 1, 2015 Accepting new patients

Organizations & group practices 2

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1962547281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 SHORE PARKWAY",
            "address_2": "SUITE FF",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353937",
            "telephone_number": "718-676-4607",
            "fax_number": "718-989-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 SHORE PKWY",
            "address_2": "SUITE MADISON FF",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353956",
            "telephone_number": "718-648-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABLOZKI-AMIR",
        "first_name": "ILANA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "213726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.