Individual provider Active NPI

Zoser Zakaria Mohamed, M.D.

  • Psychiatry Physician
  • Niskayuna, NY
National Provider Identifier
1306943113
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
169917-1 Issued in NY
Practice address
1538 Union St
Niskayuna, NY 12309-6002
Phone
(518) 377-5948
Fax
(518) 377-0037
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 169917-1 NY Primary

Addresses

Primary practice location

1538 Union St
Niskayuna, NY 12309-6002

Mailing address

PO Box 9202
Niskayuna, NY 12309-0202
Phone (518) 377-5948

Other identifiers 6

IdentifierTypeStateIssuer
000470705001OtherNYBLUE SHIELD
0066417002OtherNYGHI
20138OtherNYMVP
69E05OtherNYBLUE CROSS
10001401OtherNYCDPHP
56605OtherNYCIGNA

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
I20080129000417 NY Practitioner - Psychiatry 0749362879 Reassigns benefits to 2 organizations
Practice locations: Niskayuna, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabilitation Support Services, IncGroup PAC ID 0446437107, 5 clinicians

Practice addresses (Care Compare)

1538 Union St
Niskayuna, NY 12309-6002
Phone (518) 377-5948

306 Central Ave
Albany, NY 12206-2522
Phone (518) 462-1094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
169917-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Support Services, Inc CurrentSince Nov 24, 2015 Accepting new patients
New Dimensions in Living Inc CurrentSince Oct 1, 2005 Accepting new patients
Rehabilitation Support Services, Inc CurrentSince Nov 24, 2015 Accepting new patients

Locations

314 Central Ave
Albany, NY 12206
Phone (518) 407-0093

306 Central Ave
Albany, NY 12206
Phone (518) 462-1094

5172 Western Tpke
Altamont, NY 12009
Phone (518) 464-1511

40 Wall St
Amsterdam, NY 12010
Phone (518) 843-2575

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306943113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9202",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123090202",
            "telephone_number": "518-377-5948",
            "fax_number": "518-377-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 UNION ST",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123096002",
            "telephone_number": "518-377-5948",
            "fax_number": "518-377-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "ZOSER",
        "middle_name": "ZAKARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "169917-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000470705001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0066417002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "20138",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "69E05",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10001401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "56605",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niskayuna, NY

Sources for this page

Verify at the official NPI Registry.