Active NPI
Kaye Zuckerman, M.D.
- Surgery Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 040515
- Practice address
- 60 Temple St
Suite 5a
New Haven, CT 06510-2716 - Phone
- (203) 772-0650
- Fax
- (203) 785-9097
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 040515 | CT | Primary |
Addresses
Primary practice location
60 Temple St
Suite 5a
New Haven, CT 06510-2716
Mailing address
60 Temple St
Suite 5a
New Haven, CT 06510-2716
Phone (203) 772-0650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001405150 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- JS Weill Medical College, Cornell University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
669 Boston Post Rd
Guilford, CT 06437-2739
Phone (203) 245-2977
Hospital & facility affiliations
- Yale-New Haven Hospital
- Lawrence & Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 18 |
| Mastectomy | 18 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040515 | CT | MD | Surgery Physician |
| 21276 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates of New Haven, PC | Surgery | Current | Accepting new patients |
Locations
669 Boston Post Rd
Guilford, CT 06437
Phone (203) 245-2977
669 Boston Post Rd
Ste 4
Guilford, CT 06437
Phone (203) 453-1934
60 Temple St
Ste 5A
New Haven, CT 06510
Phone (203) 772-0650
129 York St
Ste 1R
New Haven, CT 06511
Phone (203) 772-0650
Interoperability endpoints
- kzuckerman5064@direct.ynhh.org
Organizations & group practices 1
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.
-
- Surgery Physician
- New Haven, CT
- NPI 1255487989
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1144248469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 TEMPLE ST",
"address_2": "SUITE 5A",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102716",
"telephone_number": "203-772-0650",
"fax_number": "203-785-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 TEMPLE ST",
"address_2": "SUITE 5A",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102716",
"telephone_number": "203-772-0650",
"fax_number": "203-785-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKERMAN",
"first_name": "KAYE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "040515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001405150",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.