MICHAEL A. ZIELINSKI II APN, C
NPI 1053662403
Nurse Practitioner in Toms River, NJ

Active since September 25, 2012PECOS EnrolledAccepts Medicare Assignment
970 HOOPER AVE # 2, TOMS RIVER, NJ 08753(732) 228-4146 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2020, Oct 21, 2019 (2 updates tracked since 2019).

About Michael A. Zielinski Ii Apn, C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL A. ZIELINSKI II APN, C (NPI 1053662403) is an individual nurse practitioner in Toms River, New Jersey, licensed in New Jersey (26NJ00373100) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1053662403
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMICHAEL A. ZIELINSKI IICredential: APN, C
Location Address970 HOOPER AVE # 2Toms River, NJ 08753-8319
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 25, 2012
Last NPPES UpdateAugust 19, 20202 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
NPI 1053662403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NJ · 26NJ00373100
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
970 HOOPER AVE # 2, Toms River, NJ 08753

Secondary Practice Locations 2

Location 13 Eves Dr, Suite 311Marlton, NJ 08053-3129 · Phone (856) 983-9001
Location 21 Cooper PlzCamden, NJ 08103 · Phone (856) 342-2351

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael A. Zielinski Ii Apn, C is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749433233
PECOS Enrollment IDI20130111000405
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
250 services242 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
137 services133 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
102 services102 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services56 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
48 services48 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Nurse Practitioner
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Nurse Practitioner
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Emergency Medicine
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Physician Assistant
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Nurse Practitioner (Family)
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Surgery
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Physician Assistant (Medical)
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Zielinski Ii's NPI number?

The NPI number for Michael Zielinski Ii is 1053662403. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is Michael Zielinski Ii located?

Michael Zielinski Ii practices at 970 Hooper Ave # 2, Toms River, NJ 08753. The listed phone number is (732) 228-4146.

What is Michael Zielinski Ii's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michael Zielinski Ii enrolled in Medicare?

Yes. Michael Zielinski Ii is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Zielinski Ii was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.