Individual provider Active NPI

Rachel A Zuckerbrot, M.D.

  • Child & Adolescent Psychiatry Physician
  • Englewood, NJ
National Provider Identifier
1184774069
Registry record updated Mar 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA08516700 Issued in NJ
Practice address
214 Engle St Ste 23
Englewood, NJ 07631
Phone
(917) 538-6034
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 211314 NY
Psychiatry Physician 2084P0800X 25MA08516700 NJ
Psychiatry Physician 2084P0800X 211314 NY
Child & Adolescent Psychiatry Physician 2084P0804X 211314 NY
Child & Adolescent Psychiatry Physician 2084P0804X 25MA08516700 NJ Primary

Addresses

Primary practice location

214 Engle St Ste 23
Englewood, NJ 07631

Mailing address

214 Engle St Ste 23
Englewood, NJ 07631-2418
Phone (917) 538-6034

Other practice location 1

1051 Riverside Dr Unit 78
New York, NY 10032-1007
Phone (646) 774-5736

Other practice location 2

3959 Broadway
New York, NY 10032-1559
Phone (212) 305-6204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 27, 2024 through Aug 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
211314NYMDPediatrics Physician
25MA08516700NJMDChild & Adolescent Psychiatry Physician

Interoperability endpoints

  • Direct secure messaging: raz9003@direct.nyp.org

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551571200000",
    "number": "1184774069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ENGLE ST STE 23",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312418",
            "telephone_number": "917-538-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ENGLE ST STE 23",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "917-538-6034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Riverside Dr Unit 78",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100321007",
            "country_code": "US",
            "telephone_number": "646-774-5736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3959 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100321559",
            "country_code": "US",
            "telephone_number": "212-305-6204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUCKERBROT",
        "first_name": "RACHEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "211314",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08516700",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "211314",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "211314",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA08516700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.