MR. ALEXANDRE ZOLOTOV PH.D
NPI 1912413287
Counselor - Professional in Philadelphia, PA

Active since December 21, 2017PECOS EnrolledAccepts Medicare Assignment
1080 N DELAWARE AVE STE 202, PHILADELPHIA, PA 19125(215) 596-0892 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Dec 21, 2017 (2 updates tracked since 2017).

About Mr. Alexandre Zolotov Ph.d NPPES

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

MR. ALEXANDRE ZOLOTOV PH.D (NPI 1912413287) is an individual professional provider in Philadelphia, Pennsylvania and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cinnaminson, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1912413287
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ALEXANDRE ZOLOTOVCredential: PH.D
Location Address1080 N DELAWARE AVE STE 202Philadelphia, PA 19125-4319
Mailing Address2101 Chestnut Hill DrCinnaminson, NJ 08077-3616 · (609) 635-9299
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateDecember 21, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1912413287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1080 N DELAWARE AVE STE 202, Philadelphia, PA 19125

Secondary Practice Location 1

Location 12101 Chestnut Hill DrCinnaminson, NJ 08077-3616 · Phone (609) 635-9299

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

Mr. Alexandre Zolotov Ph.d 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 ID5395223572
PECOS Enrollment IDI20260129001953
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 Reassignment

Medicare enrollment records show Alexandre Zolotov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1733 SPRING GARDEN ST FL 2
Philadelphia, PA 19130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 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.

Other Providers at the Same Location NPPES

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

Counselor
1080 N DELAWARE AVE STE 202
PHILA, PA 19125

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 Alexandre Zolotov's NPI number?

The NPI number for Alexandre Zolotov is 1912413287. It was assigned to this individual provider in the NPPES registry on December 21, 2017.

Where is Alexandre Zolotov located?

Alexandre Zolotov practices at 1080 N Delaware Ave Ste 202, Philadelphia, PA 19125. The listed phone number is (215) 596-0892.

What is Alexandre Zolotov's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Alexandre Zolotov enrolled in Medicare?

Yes. Alexandre Zolotov 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 organization bills Medicare for Alexandre Zolotov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandre Zolotov reassigns Medicare benefits to Empowerment Resource Associates, Inc. (Philadelphia, PA). The 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 Alexandre Zolotov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexandre Zolotov was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.