Zachary Bevilacqua

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

002336 Issued in NY

Practice address

123 Medallion Cir
Rochester, NY 14626-3242

Phone

(585) 313-4608

NPI assigned

Oct 23, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Zachary Bevilacqua Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1003459975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MEDALLION CIR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MEDALLION CIR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263242",
            "telephone_number": "585-313-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVILACQUA",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "002336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZACHARY",
            "last_name": "BEVILACQUA",
            "credential": "ATC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pamela J Bettcher, RPA-C
• Megan E Betteley Wang, M.D.
• Ann Louise Betz, LCSW
• Aaliyah Beverly
• Annfurly G Beverly, BSN, RN
• Megan Beyea, NP
• Sophia M Beyene
• Emma C Beyer, FNP
• Lisa Passmore Beyers, MD
• Amy C Beyrle, RPA-C

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.