Active NPI
Leon Zacharowicz, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 182176
- Practice address
- 90 Presidential PLZ
4TH Floor
Syracuse, NY 13202-2240 - Phone
- (315) 464-4243
- Fax
- (315) 464-5350
- NPI assigned
- Oct 29, 2008
- Last updated
- Dec 13, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 182176 | NY | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 182176 | NY | Primary |
Addresses
Primary practice location
90 Presidential PLZ
4TH Floor
Syracuse, NY 13202-2240
Mailing address
90 Presidential PLZ
4TH Floor
Syracuse, NY 13202-2240
Phone (315) 464-4243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01772090 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
175 Lawrence Ave
Brooklyn, NY 11230-1102
Phone (718) 436-7600
177 Livingston St
Lowr Level
Brooklyn, NY 11201-7000
Phone 71866575653018
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahava Medical and Rehabilitation Center, LLC | Current | Accepting new patients | |
| United Cerebral Palsy Associations of New York State, Inc. | Current | Accepting new patients | |
| 14 Street Medical, PC | Current | Accepting new patients | |
| Premium Health Inc | Current | Accepting new patients | |
| Metro Community Health Centers, Inc. | Current | Accepting new patients | |
| United Cerebral Palsy of New York City Inc | Current | Accepting new patients | |
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Metro Community Health Centers, Inc. | Current | Accepting new patients | |
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Metro Community Health Centers, Inc. | Past | Accepting new patients |
Locations
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
21111 Northern Blvd
#13292
Bayside, NY 11361
Phone (718) 705-1000
979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009
16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500
175 Lawrence Ave
Brooklyn, NY 11230
Phone (718) 436-7600
177 Livingston St
Lowr
Brooklyn, NY 11201
Phone (718) 855-7707
2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108
445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320
6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520
620 Foster Ave
Brooklyn, NY 11230
620 Foster Ave
Ste 200
Brooklyn, NY 11230
Phone (718) 407-7300
330 W 34th St
Fl 15
New York, NY 10001
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
80 Maiden Ln
Fl 12
New York, NY 10038
5140 59th St
Woodside, NY 11377
Phone (718) 205-0708
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://api.platform.athenahealth.com/13555/brand/1/csg/1/fhir/r4
- leon.zacharowicz.p1@direct.ucpnyc.nextgenshare.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1841536554
-
- Rehabilitation Clinic/Center
- New York, NY
- NPI 1730302019
-
- Internal Medicine Physician
- New York, NY
- NPI 1386091486
-
- Rehabilitation Practitioner
- Brooklyn, NY
- NPI 1184878274
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1730454083
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1760436190
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1609129402
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1649837113
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1942795943
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1831330182
-
dba Cerebral Palsy Assns.of NYS
- Clinic/Center
- Bronx, NY
- NPI 1366507758
-
- Federally Qualified Health Center (FQHC)
- Staten Island, NY
- NPI 1649516352
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba New York Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
dba New York-Presbyterian Hospital
- Ambulance
- New York, NY
- NPI 1174628473
Hospital
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
dba New York-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1184877508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 PRESIDENTIAL PLZ",
"address_2": "4TH FLOOR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132022240",
"telephone_number": "315-464-4243",
"fax_number": "315-464-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 PRESIDENTIAL PLZ",
"address_2": "4TH FLOOR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132022240",
"telephone_number": "315-464-4243",
"fax_number": "315-464-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHAROWICZ",
"first_name": "LEON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-29",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "182176",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NY",
"license": "182176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01772090",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.