Individual provider Active NPI

Zvi M Eckstein, M.D

  • Pediatrics Physician
  • Staten Island, NY
National Provider Identifier
1225120272
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
215424 Issued in NY
Practice address
1460 Victory Blvd
Suite D
Staten Island, NY 10301-3914
Phone
(718) 556-3500
Fax
(718) 556-4750
NPI assigned
Sep 28, 2006
Last updated
Dec 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 215424 NY Primary

Addresses

Primary practice location

1460 Victory Blvd
Suite D
Staten Island, NY 10301-3914

Mailing address

1460 Victory Blvd
Suite D
Staten Island, NY 10301-3914
Phone (718) 556-3500

Other identifiers 1

IdentifierTypeStateIssuer
02132447MedicaidNY

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
I20160725001570 NY Practitioner - Pediatric Medicine 7315230612 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215424NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jun 1, 2016 Accepting new patients
New York University Pediatrics CurrentSince Jun 1, 2016 Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients
Zvi Eckstein, MD PC Pediatrics PastSince Dec 29, 2019 Accepting new patients

Locations

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1225120272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 VICTORY BLVD",
            "address_2": "SUITE D",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013914",
            "telephone_number": "718-556-3500",
            "fax_number": "718-556-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 VICTORY BLVD",
            "address_2": "SUITE D",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013914",
            "telephone_number": "718-556-3500",
            "fax_number": "718-556-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKSTEIN",
        "first_name": "ZVI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "215424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02132447",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.