Individual provider Active NPI

Noah B. Zuker, M.D. F.A.C.S.

  • Surgery Physician
  • Staten Island, NY
National Provider Identifier
1083753016
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
268856 Issued in NY
Practice address
101 Tyrellan Ave
Staten Island, NY 10309-2624
Phone
(718) 226-6398
Fax
(929) 292-3691
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2006-0310 NM
Surgery Physician 208600000X 268856 NY Primary

Addresses

Primary practice location

101 Tyrellan Ave
Staten Island, NY 10309-2624

Mailing address

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-2000

Other practice location 1

256 Mason Ave # C
Staten Island, NY 10305-3408
Phone (718) 226-1300

Other identifiers 1

IdentifierTypeStateIssuer
183753016MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121102000285 NY Practitioner - General Surgery 8729239520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

101 Tyrellan Ave
Staten Island, NY 10309-2624

242 Mason Ave
Staten Island, NY 10305-3408
Phone (718) 226-6832

256 Mason Ave
Staten Island, NY 10305-3408

256 Mason Ave B
Staten Island, NY 10305-3408
Phone (718) 226-1595

256 Mason Aveunue
Staten Island, NY 10305-3408
Phone (718) 226-1458

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-6902

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (212) 434-6980

972 Brush Hollow Rd
Westbury, NY 11590-1740
Phone (516) 876-4100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue73
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-0310NMMDSurgery Physician
268856NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Hospital, Inc. CurrentSince Mar 25, 2016 Accepting new patients
River Hospital, Inc. CurrentSince Mar 25, 2016 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jun 12, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jun 12, 2023 Accepting new patients
True North Medical Group PC Past Accepting new patients
Staten Island University Hospital Past Accepting new patients

Locations

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

305 Main St
Ogdensburg, NY 13669
Phone (315) 393-2611

300 Community Dr
Plandome, NY 11030

101 Tyrellan Ave
#4
Staten Island, NY 10309

256 Mason Ave
Bldg C
Staten Island, NY 10305
Phone (718) 226-1300

256 Mason Ave
#C
Staten Island, NY 10305
Phone (718) 226-1251

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

101 Tyrellan Ave
Staten Island, NY 10309
Phone (718) 281-3645

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: nzuker27688@northwell.direct-ci.com
  • Direct secure messaging: nzuker217073@direct-guthrie.org

Organizations & group practices 6

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 3

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1083753016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-226-2000",
            "fax_number": "718-226-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TYRELLAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092624",
            "telephone_number": "718-226-6398",
            "fax_number": "929-292-3691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Mason Ave # C",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053408",
            "country_code": "US",
            "telephone_number": "718-226-1300",
            "fax_number": "718-226-1247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUKER",
        "first_name": "NOAH",
        "middle_name": "B.",
        "credential": "M.D. F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "2006-0310",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "268856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183753016",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.