Active NPI
Alan R Zakheim, M.D.
- Vascular & Interventional Radiology Physician
- Roslyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 204237
- Practice address
- 100 Port Washington Blvd
Dept. of Radiology
Roslyn, NY 11576-1353 - Phone
- (516) 562-6518
- Fax
- (646) 895-7662
- NPI assigned
- May 25, 2006
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME 95015 | FL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 72298 | NJ | |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME 95015 | FL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 204237 | NY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 72298 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | 204237 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA07229800 | NJ |
Addresses
Primary practice location
100 Port Washington Blvd
Dept. of Radiology
Roslyn, NY 11576-1353
Mailing address
252 7TH Ave
15G
New York, NY 10001-7326
Phone (516) 562-6518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Brooklyn, NY 11229
Phone (347) 702-4066
252 7TH Ave
Apt 15G
New York, NY 10001-7348
Phone (413) 447-2451
725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2451
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 95015 | FL | MD | Diagnostic Radiology Physician |
| 25MA07229800 | NJ | MD | Diagnostic Radiology Physician |
| 204237 | NY | MD | Diagnostic Radiology Physician |
| 72298 | NJ | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Complete Express Medical PC | Diagnostic Radiology | Current | Accepting new patients |
| Svetlana Fish Physician PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Advanced Berkshire Medical Imaging, PC | Diagnostic Radiology | Current | Accepting new patients |
| Carnegie Hill Cardiology, PLLC | Past | Accepting new patients | |
| North Shore Health System Medical Faculty Group Practice Inc | Past | Accepting new patients |
Locations
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
10 Little Brook Rd
West Wareham, MA 02576
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
2602 Avenue U
Unit 238
Brooklyn, NY 11229
3047 Avenue U
Ste 2
Brooklyn, NY 11229
Phone (347) 702-4066
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Plandome, NY 11030
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1710194501
-
- Diagnostic Radiology Physician
- Pittsfield, MA
- NPI 1588778807
NY
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1649767013
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Cardiovascular Disease Physician
- Springfield Gardens, NY
- NPI 1760538235
-
- Hematology & Oncology Physician
- New Hyde Park, NY
- NPI 1003409061
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baystate Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
dba Baystate Reference Laboratories
- Clinical Medical Laboratory
- Springfield, MA
- NPI 1568488450
Hospital
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Critical Access Hospital
- Great Barrington, MA
- NPI 1730112251
-
- Critical Access Hospital
- North Adams, MA
- NPI 1437839669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1033165774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 7TH AVE",
"address_2": "15G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017326",
"telephone_number": "516-562-6518",
"fax_number": "646-895-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PORT WASHINGTON BLVD",
"address_2": "DEPT. OF RADIOLOGY",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761353",
"telephone_number": "516-562-6518",
"fax_number": "646-895-7662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAKHEIM",
"first_name": "ALAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME 95015",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NJ",
"license": "72298",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME 95015",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "204237",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "72298",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "204237",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA07229800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.