Active NPI
Zeba Memon, PA-C
- Physician Assistant
- Bethpage, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 022627
- Practice address
- 4295 Hempstead Tpke
Bethpage, NY 11714-5713 - Phone
- (516) 520-2500
- NPI assigned
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 022627 | NY | Primary |
Addresses
Primary practice location
4295 Hempstead Tpke
Bethpage, NY 11714-5713
Mailing address
35 Birch LN
Valley Stream, NY 11581-2632
Phone (516) 605-8018
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1049 Morris Park Ave
Bronx, NY 10461-1410
Phone (929) 777-9082
148 Sunrise Hwy
West Islip, NY 11795-2012
Phone (631) 620-3580
16450 Crossbay Blvd
Howard Beach, NY 11414-3749
Phone (718) 848-8412
339 Main St
Huntington, NY 11743-6958
Phone (631) 470-9000
555 N Broadway
Jericho, NY 11753-2134
Phone (516) 597-5070
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 72.13
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 75.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Mount Kisco Medical Group | Past | Accepting new patients |
Locations
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 9
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.
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1619245610
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Emergency Medicine Physician
- Uniondale, NY
- NPI 1588098172
-
- Specialist
- Bethpage, NY
- NPI 1881799153
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1104097294
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1063997799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 BIRCH LN",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115812632",
"telephone_number": "516-605-8018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4295 HEMPSTEAD TPKE",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117145713",
"telephone_number": "516-520-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEMON",
"first_name": "ZEBA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "022627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethpage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.