Active NPI
John Alexander Zagat, M.D.
- Neurology Physician
- Valhalla, NY
National Provider Identifier
1275952533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 297039
- Practice address
- 100 Woods Rd
Valhalla, NY 10595 - Phone
- (914) 493-7000
- NPI assigned
- Apr 15, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 297039 | NY | Primary |
Addresses
Primary practice location
100 Woods Rd
Valhalla, NY 10595
Mailing address
19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018
Other practice location 1
833 Chestnut St
Suite 210
Philadelphia, PA 19107-4414
Phone (215) 955-8420
Other practice location 2
833 Chestnut St
Suite 210
Philadelphia, PA 19107-4414
Phone (215) 955-8420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297039 | Other | NY | NYS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 2, 2021 through Jul 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297039 | NY | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1275952533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE STE 3100N",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-909-9018",
"fax_number": "914-909-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"telephone_number": "914-493-7000"
}
],
"practiceLocations": [
{
"address_1": "833 Chestnut St",
"address_2": "Suite 210",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074414",
"country_code": "US",
"telephone_number": "215-955-8420",
"fax_number": "215-503-2856",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "833 Chestnut St",
"address_2": "Suite 210",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074414",
"country_code": "US",
"telephone_number": "215-955-8420",
"fax_number": "215-503-2856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAGAT",
"first_name": "JOHN",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "297039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "297039",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.