Ricky Zegelstein, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

160215 Issued in NY

Practice address

65A Beverly Rd
Great Neck, NY 11021-1616

Phone

(917) 822-4074

Fax

(516) 570-2306

NPI assigned

Nov 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Custom Anesthesia Services, P.C.

  • Anesthesiology Physician
  • Great Neck, NY
  • NPI 1861567752
  NPD (past) Authorized official

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1043385933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65A BEVERLY RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211616",
            "telephone_number": "917-822-4074",
            "fax_number": "516-487-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65A BEVERLY RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211616",
            "telephone_number": "917-822-4074",
            "fax_number": "516-570-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGELSTEIN",
        "first_name": "RICKY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "160215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Zausmer, MD
• Kathryn Zaverdas
• Adam Daniel Zavodnick, M.D.
• Lev Zavulunov, RPH
• Lorrell Heather Zegarelli, ATC
• Jessica Zeidman
• Jennifer Christine Zeitler, OTR/L
• Vadim Zeltsman, MD
• Kevin Soria Zemana, PT, DPT
• Elaine Zerakhto, LMHC

• Anesthesiology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.