Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Zakary Walizadeh

Individual provider Physician Assistant · NPI 1801431291

Zakary Walizadeh is a Physician Assistant in New York, New York. Qualified in 2019, 7 years ago. Practices with Ophelia Medical Group Fl PA, a 100-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

228 Park Ave S Ste 15314
New York, NY 10003-1502
Phone: (215) 585-2144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024411 (NY)

Record details

NPI number1801431291
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 9, 2019
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ophelia Medical Group Fl Pa — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Colleagues at Ophelia Medical Group Fl PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 100 clinicians in the practice; 12 are shown here.

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