Augusto A Zevallos, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

214540 Issued in NY

Practice address

351 Onderdonk Ave
Ridgewood, NY 11385-1334

Phone

(718) 418-3335

Fax

(718) 418-6584

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: aaz9003@direct.nyp.org
• FHIR API: https://fhir4.healow.com/fhir/r4/DHFIBA/Endpoint/DHFIBA

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.

• Good Medical Care, PLLC

  • Adult Medicine Physician
  • Ridgewood, NY
  • NPI 1114477817
  Medicare reassignment NPD Authorized official
• Ny Total Medical Care, P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1275625428
  Medicare reassignment
• BM Vascular Surgery PC

  • Specialist
  • Middle Village, NY
  • NPI 1013198704
  NPD (past)
• Dr. Giovanni Marciano and Dr. Glenn Muraca Physicians, P.C.

  • Health Maintenance Organization
  • Woodhaven, NY
  • NPI 1528179587
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1962547331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 DOGWOOD AVE STE 398",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103247",
            "telephone_number": "718-418-3335",
            "fax_number": "718-418-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 ONDERDONK AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851334",
            "telephone_number": "718-418-3335",
            "fax_number": "718-418-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEVALLOS",
        "first_name": "AUGUSTO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "214540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana Nashaat Youssef
• Jesse Yuan
• Liliya Yusupova, PHARM D.
• Z&M Dental P.C
• Tova Zachai, CCC-SLP
• Mehwish Zia, MD
• Marta Zielke
• Hanna Zielnik, M.D.
• Noelle Zinn, MSN, CRNA
• Lisa Robin Zollman, MA CCC A

• Family Medicine Physician in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.