Individual provider Active NPI

Dina Zaqqa, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Saratoga Springs, NY
National Provider Identifier
1306389523
Registry record updated Nov 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD063942L Issued in PA
Practice address
76 Adams Rd
Saratoga Springs, NY 12866-9008
Phone
(518) 587-1409
NPI assigned
Nov 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD063942L PA Primary

Addresses

Primary practice location

76 Adams Rd
Saratoga Springs, NY 12866-9008

Mailing address

76 Adams Rd
Saratoga Springs, NY 12866-9008
Phone (518) 587-1409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD063942LPAMDEndocrinology, Diabetes & Metabolism Physician

NPI Registry JSON

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

{
    "created_epoch": "1479513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479513600000",
    "number": "1306389523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 ADAMS RD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128669008",
            "telephone_number": "518-587-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 ADAMS RD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128669008",
            "telephone_number": "518-587-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAQQA",
        "first_name": "DINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-19",
        "last_updated": "2016-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD063942L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.