MR. WALTER XAVIER ZAVALA-SALAS (NPI# 1689034654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689034654 |
| Entity Type | Individual |
| Full Name | MR. WALTER XAVIER ZAVALA-SALAS |
| Other Name | DR. WALTER XAVIER ZAVALA-SALAS |
| Credential | RPA-C |
| Practice Address |
593 E Tremont Ave Bronx NY 10457 |
| Mailing Address |
Po Box 666 Bronx NY 10453-0666 |
| Practice Telephone | 3478679059 |
| Mailing Telephone | 3478679059 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
150625 | NY | Technologists, Technicians & Other Technical Service Providers |
| N | 363A00000X | Physician Assistant | 23019512 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
019512-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
23019512 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1916 Loring Pl S Apt 5n, Bronx, NY 104532972 | 3478679059 |
| Street Address |
593 E TREMONT AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841545605 | Inna Polishchuk | Optometrist | 593 E Tremont Ave, Bronx, NY 10457-4727 | 2012-07-18 |
| 1568085496 | Eyeq Vision Group Inc | Eyewear Supplier (Equipment, not the service) | 593 E Tremont Ave, Bronx, NY 10457-4727 | 2020-05-27 |
| 1760978886 | David Alan Sanders | Optometrist | 593 E Tremont Ave, Bronx, NY 10457 | 2018-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
| Find all providers in zip 10457 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568006682 | Walces Castelly | Physician Assistant | 860 Grand Concourse Apt 1l, Bronx, NY 10451-2815 | 2019-10-31 |
| 1447815949 | Shadman Emrose Noshin | Physician Assistant | 2843 Dudley Ave Fl 2, Bronx, NY 10461-5609 | 2019-05-09 |
| 1275024952 | Barbara Hoffman | Physician Assistant | 1017 Burke Ave, Bronx, NY 10469-3803 | 2018-05-29 |
| 1154791473 | Edelmys Suncar | Physician Assistant | 1150 Webster Ave, Bronx, NY 10456-5205 | 2015-09-29 |
| 1083096697 | Victoria Owusuaa | Physician Assistant | 2334 Tiebout Ave, Apt # 4e, Bronx, NY 10458-7310 | 2015-06-19 |
| 1093102865 | Rlb Alternative Care Inc | Physician Assistant | 574 E 170th St, C/o Ricardo L. Baez, Bronx, NY 10456-2304 | 2015-04-20 |
| 1235532078 | Ethan Searles | Physician Assistant | 91 Poplar Ave, Bronx, NY 10465-3943 | 2014-10-08 |
| 1053713164 | Pranvera Dervishi | Physician Assistant | 1334 Astor Ave, Pvh 2nd Floor, Bronx, NY 10469-5832 | 2014-09-19 |
| 1588934814 | Melinda Jimenez | Physician Assistant | 2306 Walton Ave, Bronx, NY 10468-7102 | 2012-01-03 |
| 1194094300 | Ayisha Munawar | Physician Assistant | 285 E 171st St, Bronx, NY 10457-8939 | 2011-12-16 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.