Individual provider Active NPI

Edward Zamecki, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Glen Cove, NY
National Provider Identifier
1326147182
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
193669 Issued in NY
Practice address
128A Glen St
Internal Medicine & Geriatrics, P.C.
Glen Cove, NY 11542-2737
Phone
(516) 802-5562
Fax
(516) 802-5563
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 193669 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 193669 NY Primary

Addresses

Primary practice location

128A Glen St
Internal Medicine & Geriatrics, P.C.
Glen Cove, NY 11542-2737

Mailing address

128A Glen St
Internal Medicine & Geriatrics, P.C.
Glen Cove, NY 11542-2737
Phone (516) 802-5562

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
I20071008000338 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2567557457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

128 A Glen St
Glen Cove, NY 11542-2737
Phone (516) 802-5562

Hospital & facility affiliations

  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Zamecki, Internal Medicine & Geriatrics, P.C. Geriatric Medicine CurrentSince Jun 1, 2007 Accepting new patients

Locations

128A Glen St
Glen Cove, NY 11542
Phone (516) 802-5562

128 Glen St
#A
Glen Cove, NY 11542
Phone (516) 802-5562

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1326147182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128A GLEN ST",
            "address_2": "INTERNAL MEDICINE & GERIATRICS, P.C.",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422737",
            "telephone_number": "516-802-5562",
            "fax_number": "516-802-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128A GLEN ST",
            "address_2": "INTERNAL MEDICINE & GERIATRICS, P.C.",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422737",
            "telephone_number": "516-802-5562",
            "fax_number": "516-802-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMECKI",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "193669",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "193669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.