Individual provider Active NPI

Leon Zacharowicz, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Syracuse, NY
National Provider Identifier
1184877508
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
182176 Issued in NY
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01772090MedicaidNY

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
I20111025000462 NY Practitioner - Neurology 8022281732 Reassigns benefits to 7 organizations

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
United Cerebral Palsy of New York City, Inc.Group PAC ID 4688748320, 11 clinicians

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

OrganizationSpecialtyStatusNew patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Aug 30, 2017 Accepting new patients
United Cerebral Palsy Associations of New York State, Inc. Current Accepting new patients
14 Street Medical, PC CurrentSince Jun 6, 2018 Accepting new patients
Premium Health Inc CurrentSince Dec 21, 2023 Accepting new patients
Metro Community Health Centers, Inc. CurrentSince Jul 3, 2018 Accepting new patients
United Cerebral Palsy of New York City Inc CurrentSince Nov 30, 2018 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jul 1, 2019 Accepting new patients
Premier Healthcare, Inc. CurrentSince Nov 18, 2019 Accepting new patients
Premier Healthcare, Inc. CurrentSince Nov 18, 2019 Accepting new patients
Metro Community Health Centers, Inc. CurrentSince Jul 3, 2018 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jul 1, 2019 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

  • FHIR API: https://api.platform.athenahealth.com/13555/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.