Individual provider Active NPI

Michael Scott Zuckerman, M.D.

  • Obstetrics & Gynecology Physician
  • Hempstead, NY
National Provider Identifier
1003909235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
220106-1 Issued in NY
Practice address
540 Fulton Ave
Hempstead, NY 11550-4364
Phone
(516) 750-2500
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 220106-1 NY Primary

Addresses

Primary practice location

540 Fulton Ave
Hempstead, NY 11550-4364

Mailing address

23 Pinewood Rd
Roslyn, NY 11576-2419
Phone (516) 626-1861

Other identifiers 1

IdentifierTypeStateIssuer
00385135MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040329000462 NY Practitioner - Obstetrics/Gynecology 6103718630 Reassigns benefits to 1 organization
I20231207001855 CA Practitioner - Obstetrics/Gynecology 6103718630 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
220106-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Wound Care Inc CurrentSince Oct 9, 2023 Accepting new patients
Crescent Wound Care Inc CurrentSince Oct 9, 2023 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince May 5, 2024 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Nov 29, 2023 Accepting new patients

Locations

442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311

5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

1630 N Edison St
Stockton, CA 95204
Phone (209) 948-8762

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003909235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PINEWOOD RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762419",
            "telephone_number": "516-626-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504364",
            "telephone_number": "516-750-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKERMAN",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "220106-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00385135",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.