MRS. NINA ZILBERMAN MD
NPI 1265541015
Family Medicine in New York, NY

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
336 E 86TH ST, NEW YORK, NY 10028(212) 772-3627 Get Directions Write a Review

NPPES record last updated: February 20, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Nina Zilberman Md NPPES

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

MRS. NINA ZILBERMAN MD (NPI 1265541015) is an individual family medicine provider in New York, New York, licensed in New York (213266) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1265541015
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. NINA ZILBERMANCredential: MD
Location Address336 E 86TH STNew York, NY 10028-4615
Mailing AddressPo Box 1546Englewood Cliffs, NJ 07632 · (201) 945-6500 · Fax (201) 945-1157
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 29, 2006
Last NPPES UpdateFebruary 20, 2015
✔ NPI 1265541015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 213266✔ Licensed in NJ · 25MA06538100
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
336 E 86TH ST, New York, NY 10028

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Nina Zilberman Md 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 ID3274666425
PECOS Enrollment IDI20100809000742
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nina Zilberman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
9952 66TH RD LBBY D
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
Urgent Care
243 MERRICK RD
Rockville Centre, NY 11570
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: North Shore Lij Urgent Care PC
  • 210 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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 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.
460 services105 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
428 services68 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
187 services82 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
167 services101 patients
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.
164 services73 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
161 services48 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10028 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers25 claims55 services$6.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims11 services$0.92 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers337 claims1,600 services$215.50 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
3 suppliers314 claims314 services$221.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Emergency Medicine
336 E 86TH ST
NEW YORK, NY 10028
Nurse Practitioner
336 E 86TH ST
NEW YORK, NY 10028
Emergency Medicine
336 E 86TH ST
NEW YORK, NY 10028
Psychiatry & Neurology (Sleep Medicine)
336 E 86TH ST
NEW YORK, NY 10028
Family Medicine
336 E 86TH ST
NEW YORK, NY 10028
Emergency Medicine
336 E 86TH ST
NEW YORK, NY 10028
Family Medicine
336 E 86TH ST
NEW YORK, NY 10028
Family Medicine
336 E 86TH ST
NEW YORK, NY 10028

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 Nina Zilberman's NPI number?

The NPI number for Nina Zilberman is 1265541015. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Nina Zilberman located?

Nina Zilberman practices at 336 E 86th St, New York, NY 10028. The listed phone number is (212) 772-3627.

What is Nina Zilberman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nina Zilberman enrolled in Medicare?

Yes. Nina Zilberman 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.

Which organizations bill Medicare for Nina Zilberman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nina Zilberman reassigns Medicare benefits to 2 organizations: Wellpoint Family Medical,pc (Rego Park, NY) and North Shore Lij, Urgent Care, P.C. (Rockville Centre, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nina Zilberman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nina Zilberman accept?

Health plans from Oscar Health list Nina Zilberman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nina Zilberman affiliated with any hospitals?

According to CMS data, Nina Zilberman is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Nina Zilberman was last updated on February 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.