Bruce Charles Zablow, MD MSPH

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

1288861 Issued in NY

Practice address

680 Kinderkamack Rd
Suite 300
Oradell, NJ 07649-1600

Phone

(201) 342-2550

Fax

(201) 342-7171

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maimonides Faculty Practice Plan

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1053344846
  Medicare reassignment NPD
• Maimonides Medical Center - MMC Radiology FPP

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1811948284
  Medicare reassignment NPD
• New York Neuro Endovascular Surgery, PC

  • Specialist
  • Chappaqua, NY
  • NPI 1861709479
  NPD (past) Authorized official
• Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, M.D., P.C.

  • Surgery Physician
  • New York, NY
  • NPI 1952857492
  NPD (past)
• DRS. Beranbaum, Khilnani, Neistadt, Jacobs, Hertz & Sherman, LLP

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1255438537
  NPD (past)
• North Shore Health System Medical Faculty Group Practice Inc

  • Hematology & Oncology Physician
  • New Hyde Park, NY
  • NPI 1003409061
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1285618843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 KINDERKAMACK RD",
            "address_2": "SUITE 300",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491600",
            "telephone_number": "201-342-2550",
            "fax_number": "201-342-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 KINDERKAMACK RD",
            "address_2": "SUITE 300",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491600",
            "telephone_number": "201-342-2550",
            "fax_number": "201-342-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABLOW",
        "first_name": "BRUCE",
        "middle_name": "CHARLES",
        "credential": "MD MSPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "1288861",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA04764200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01122201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Wilson, RD
• Madeline Sylvia Wingerath, LSW
• Tamini Joy Wingerath, LCSW
• Saron Yohannes, APN
• Yevgeniya Yubliler, AU.D.
• Mahmood M Zaitr, DDS
• Zen Counseling and Psychotherapy Group LLC
• Shanshan Zhou, MS,RD

• Neuroradiology Physician in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Neuroradiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.