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Export Provider Record NPI 1215012307
Ksenia G. ZukowskyAPN
Active
NPI Number1215012307
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner
Provider Details
NPI1215012307
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-10-26
Last Updated2011-09-02
Mailing AddressPo Box 191, Provider Enrollment Dept
Rockland, DE 19732-0191
United States
Phone: (302) 651-6212 | Fax: (302) 651-4945
📍 View Map
Primary Practice AddressThomas Jefferson University Hospital, 111 S. 11th Street
Philadelphia, PA 19107-4824
United States
Phone: (215) 955-6000 | Fax: (215) 923-9519
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNJ0021661-
MEDICAIDMD4039831-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363L00000X – Nurse PractitionerPAVP001289J
No363LN0000X – Nurse Practitioner, NeonatalPAVP001289J
No363LN0005X – Nurse Practitioner, Neonatal, Critical CarePAVP001289J
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About NPI 1215012307

Ksenia G. Zukowsky APN is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1215012307. The primary specialty listed is Nurse Practitioner. The provider is located in Philadelphia, PA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1215012307?

NPI 1215012307 belongs to Ksenia G. Zukowsky APN, a Nurse Practitioner in Philadelphia, PA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1215012307 active?

The current status of NPI 1215012307 in the NPPES registry is Active. The record was last updated on 2011-09-02.

What specialty is NPI 1215012307?

NPI 1215012307 is classified under the taxonomy Nurse Practitioner. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1215012307?

You can verify NPI 1215012307 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1215012307?

The primary practice address on file for NPI 1215012307 is Thomas Jefferson University Hospital, Philadelphia, PA 19107-4824. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1215012307 issued?

NPI 1215012307 was first issued (enumerated) on 2006-10-26. The NPPES record was last updated on 2011-09-02.

Practice Location Map

Ksenia G. Zukowsky is located at Thomas Jefferson University Hospital, Philadelphia, PA. Use the map below to find directions or verify the practice location.

📍 Thomas Jefferson University Hospital, Philadelphia, PA 19107-4824  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Ksenia G. Zukowsky. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1215012307. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse PractitionerVP001289JPA
Nurse Practitioner, NeonatalVP001289JPA
Nurse Practitioner, Neonatal, Critical CareVP001289JPA
Data Verified from CMS NPPES Last synced: 2026-08-31 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162