Individual provider Active NPI

Kaye Zuckerman, M.D.

  • Surgery Physician
  • New Haven, CT
National Provider Identifier
1144248469
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
040515 Issued in CT
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

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001405150MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000559 CT Practitioner - General Surgery 2567659352 Reassigns benefits to 1 organization

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
Surgical Associates of New Haven PCGroup PAC ID 6608990155, 2 clinicians

Practice addresses (Care Compare)

669 Boston Post Rd
Guilford, CT 06437-2739
Phone (203) 245-2977

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)18
Mastectomy18
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040515CTMDSurgery Physician
21276SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates of New Haven, PC Surgery CurrentSince Oct 10, 1986 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.