Active NPI
Dennis Banez Zaide, M.D.
- Internal Medicine Physician
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 53175
- Practice address
- 2315 E Moreland Blvd
Westbrook Primary Care and OB/GYN Clinic
Waukesha, WI 53186-2939 - Phone
- (262) 352-5700
- Fax
- (262) 532-5701
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 53175 | WI | |
| Internal Medicine Physician | 207R00000X | 53175 | WI | Primary |
Addresses
Primary practice location
2315 E Moreland Blvd
Westbrook Primary Care and OB/GYN Clinic
Waukesha, WI 53186-2939
Mailing address
2315 E Moreland Blvd
Westbrook Primary Care and OB/GYN Clinic
Waukesha, WI 53186-2939
Phone (262) 352-5700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278423800 | Medicaid | FL | |
| 1003940784 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
199 Amsterdam Ave
New York, NY 10023-5024
Phone (646) 863-0463
Hospital & facility affiliations
- Lenox Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53175 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Lij, Urgent Care, P.C. | Current | Accepting new patients |
Locations
5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780
5828 99th St
Flushing, NY 11368
Phone (718) 502-9867
199 Amsterdam Ave
New York, NY 10023
Phone (212) 721-4200
377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061
377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061
Interoperability endpoints
- dennis.zaide@ghuc.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1003940784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 E MORELAND BLVD",
"address_2": "WESTBROOK PRIMARY CARE AND OB/GYN CLINIC",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531862939",
"telephone_number": "262-352-5700",
"fax_number": "262-532-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 E MORELAND BLVD",
"address_2": "WESTBROOK PRIMARY CARE AND OB/GYN CLINIC",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531862939",
"telephone_number": "262-352-5700",
"fax_number": "262-532-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAIDE",
"first_name": "DENNIS",
"middle_name": "BANEZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "53175",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "53175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278423800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003940784",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.