Healthcare Provider Details

I. General information

NPI: 1235451287
Provider Name (Legal Business Name): ELLEN ZLOBINSKIY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2010
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 EASTCHESTER RD
BRONX NY
10461
US

IV. Provider business mailing address

133 IVANHOE DR
PARAMUS NJ
07652-4113
US

V. Phone/Fax

Practice location:
  • Phone: 917-270-5840
  • Fax: 888-928-9464
Mailing address:
  • Phone: 917-270-5840
  • Fax: 888-928-9464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00377000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberF335668-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number407970
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: