Individual provider Active NPI

Alan R Zakheim, M.D.

  • Vascular & Interventional Radiology Physician
  • Roslyn, NY
National Provider Identifier
1033165774
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
204237 Issued in NY
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

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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, MA2 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
I20041110000336 NY Practitioner - Diagnostic Radiology 1456314475 Reassigns benefits to 4 organizations
I20210205001013 MA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1456314475 Reassigns benefits to 1 organization

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
Svetlana Fish Physician PCGroup PAC ID 2365963550, 3 clinicians
Advanced Berkshire Medical Imaging PCGroup PAC ID 9830169283, 10 clinicians

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

LicenseStateTypeSpecialty
ME 95015FLMDDiagnostic Radiology Physician
25MA07229800NJMDDiagnostic Radiology Physician
204237NYMDDiagnostic Radiology Physician
72298NJMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Oct 19, 2020 Accepting new patients
Complete Express Medical PC Diagnostic Radiology CurrentSince Apr 21, 2018 Accepting new patients
Svetlana Fish Physician PC CurrentSince Jan 28, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince Oct 19, 2020 Accepting new patients
Advanced Berkshire Medical Imaging, PC Diagnostic Radiology CurrentSince Feb 1, 2021 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.