Active NPI 1053662403 Individual Practitioner Male Practitioner

Michael A. Zielinski Ii , APN, C

Nurse Practitioner • Toms River, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Zielinski Ii, APN, C is a certified Nurse Practitioner practicing in Toms River, NJ. With approximately 21 years of clinical experience since completing medical education in 2005, Michael Zielinski Ii delivers high-quality medical care to the local community at 970 HOOPER AVE # 2.

Michael Zielinski Ii is affiliated with Summit Medical Group Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

970 Hooper Ave # 2

Toms River, NJ 087538319

Telephone 7322284146

Associated Practice Facility / Clinic

🏢 Summit Medical Group Pa Facility NPI 1568061315

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Toms River, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +11.3 yrs vs City Avg

City Avg: 9.7 Yrs

State Avg: 9.5 Yrs

Regional Practice Density

35 Specialists

Practicing in Toms River, NJ (1984 Statewide)

Telehealth Adoption Rate

8.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zielinski Ii (21 Years) 21 Yrs

Toms River Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	242	$206.69	$80.68
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	137	133	$150.00	$66.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$302.00	$100.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	56	$300.00	$112.82
81003 Automated urinalysis test	48	48	$8.00	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	30	30	$30.00	$16.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$458.00	$149.58
71046 X-ray of chest, 2 views	19	18	$110.00	$30.38
73630 X-ray of foot, minimum of 3 views	18	17	$83.00	$31.34
87088 Bacterial urine culture	17	17	$34.00	$7.93
87086 Bacterial colony count, urine	15	15	$33.00	$7.91
87070 Bacterial culture	12	12	$36.00	$8.45
73562 X-ray of knee, 3 views	11	11	$103.00	$37.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	233	230	$207.30	$82.55
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	79	78	$96.20	$33.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$302.00	$103.57
87804 Detection test by immunoassay with direct visual observation for influenza virus	66	32	$30.00	$16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	50	$300.00	$116.24
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	34	34	$150.00	$30.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$453.06	$150.71
87088 Bacterial urine culture	25	25	$34.00	$7.93
87086 Bacterial colony count, urine	25	25	$33.00	$7.91
81002 Urinalysis, manual test	24	24	$9.00	$3.41
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	18	$30.00	$16.20
87070 Bacterial culture	17	17	$36.00	$7.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$123.00	$52.60
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	13	12	$13.00	$8.48
87077 Bacterial culture for aerobic isolates	12	12	$33.00	$7.92
71046 X-ray of chest, 2 views	11	11	$110.00	$32.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	237	229	$99.58	$41.86
99213 Established patient office or other outpatient visit, typically 15 minutes	230	221	$205.67	$84.55
87804 Detection test by immunoassay with direct visual observation for influenza virus	111	55	$30.00	$16.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$301.94	$104.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	73	$300.00	$116.48
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	42	42	$200.00	$72.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$453.95	$151.34
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	37	37	$50.00	$23.99
81002 Urinalysis, manual test	37	37	$9.00	$3.42
87088 Bacterial urine culture	35	35	$34.00	$7.76
87086 Bacterial colony count, urine	34	34	$33.00	$7.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	33	$123.00	$53.20
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	17	16	$13.00	$8.09
87077 Bacterial culture for aerobic isolates	16	15	$33.00	$7.54
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$215.63	$64.41
71046 X-ray of chest, 2 views	12	12	$110.00	$32.29
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$30.00	$16.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	262	257	$100.00	$45.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$302.00	$104.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	106	$300.00	$119.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$456.50	$154.18
99213 Established patient office or other outpatient visit, typically 15 minutes	104	104	$204.92	$85.13
81002 Urinalysis, manual test	29	29	$9.00	$3.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$123.00	$52.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$278.48	$100.05
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	52	52	$100.00	$45.23
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$200.05	$69.79
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$210.00	$70.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$262.15	$100.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$175.00	$98.00

Medical Specialties & State Licenses

CMS Verified: 2020-08-19

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NJ 26NJ00373100

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

Secondary Practice Locations

3 Eves Dr, Suite 311

Marlton, NJ 080533129

Phone: 8569839001

3 Eves Dr, Suite 311

Marlton, NJ 080533129

Phone: 8569839001

1 Cooper Plz

Camden, NJ 08103

Phone: 8563422351

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners

Michael Ruggiero

Emergency Medicine

NPI 1053367136

Neelam Sood

Nurse Practitioner

NPI 1114329273

Laura Sheridan , PA

Physician Assistant - Medical

NPI 1134779325

Physician Assistant

Michelle Jorgensen , APN

Nurse Practitioner

NPI 1245760990

Advanced Practice Nurse

Dr. Jacob Meredith , MD

Emergency Medicine

NPI 1275578122

Doctor of Medicine (M.D.)

Elizabeth Godfrey , PA-C

Physician Assistant

NPI 1366106031

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location August 19, 2020

Registered at 970 HOOPER AVE # 2, TOMS RIVER, NJ 087538319 (Tel: 7322284146)

📍

Updated Business Mailing Address August 19, 2020

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082734300)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2020

Nurse Practitioner (License #26NJ00373100 in NJ)

📍

Updated Practice Location October 21, 2019

Registered at 1 COOPER PLZ, CAMDEN, NJ 08103 (Tel: 8563422351)

📍

Updated Business Mailing Address October 21, 2019

Registered at 1 FEDERAL ST # 200, CAMDEN, NJ 081031088 (Tel: 8563564924)

✅

NPI Profile Active September 25, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 25, 2012

Registered at 3 EVES DR, SUITE 311, MARLTON, NJ 080533129 (Tel: 8569839001)

📍

Updated Business Mailing Address September 25, 2012

Registered at 3 EVES DR, SUITE 311, MARLTON, NJ 080533129 (Tel: 8569839001)

👤

Provider Name / Credentials Updated September 25, 2012

Recorded as MICHAEL ZIELINSKI II, APN, C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2012

Nurse Practitioner (License #26NJ00373100 in NJ)

🟢

Initial NPI Registration & Enumeration September 25, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Michael Zielinski Ii. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1053662403

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 25, 2012

Last Update: August 19, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Phone: 9082734300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.