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

Augusto A Zevallos, MD

Individual provider Family Medicine Physician · NPI 1962547331

Augusto A Zevallos, MD is a Family Practice in Ridgewood, New York. Qualified in 1985, 41 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
41
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

351 Onderdonk Ave
Ridgewood, NY 11385-1334
Phone: (718) 418-3335
Fax: (718) 418-6584
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 214540 (NY)

Record details

NPI number1962547331
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 21, 2007
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address672 Dogwood Ave Ste 398, Franklin Square, NY 11010-3247

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Not indicated

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