Individual provider Active NPI

Gary A. Zack, CRNA

  • Certified Registered Nurse Anesthetist
  • Allentown, PA
National Provider Identifier
1336663871
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN641144 Issued in PA
Practice address
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone
(610) 402-8001
Fax
(610) 402-8240
NPI assigned
Jul 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN641144 PA Primary

Addresses

Primary practice location

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440

Other practice location 1

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (610) 954-5810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170913001048 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133492150 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1200 S Cedar Crest Blvd
LVPG General in Patient Pediatrics
Allentown, PA 18103-6202
Phone (610) 402-6700

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
College Heights Endoscopy Center LLC CurrentSince Jan 24, 2020 Accepting new patients
Northeastern Anesthesia Physicians P.C. CurrentSince Oct 10, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 30, 2023 Accepting new patients
Gulfstream Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2019 Accepting new patients
College Heights Endoscopy Center, LLC CurrentSince Jan 24, 2020 Accepting new patients
Lehigh Valley Anesthesia Services, P. C. Nurse Anesthetist, Certified Registered CurrentSince Aug 21, 2017 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Forty Fort Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2018 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 30, 2023 Accepting new patients
Anesthesia Specialists of Bethlehem, PC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients

Locations

255 W Michigan Ave
Jackson, MI 49201

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

3147 College Heights Blvd
Allentown, PA 18104
Phone (610) 841-2432

24 S 18th St
Allentown, PA 18104
Phone (610) 628-8372

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

701 E 16th St
Berwick, PA 18603
Phone (570) 754-5000

2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

190 Welles St
Kingston, PA 18704
Phone (570) 283-0524

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

1 Storm St
Stroudsburg, PA 18360
Phone (570) 421-4978

275 Guthrie Dr
Troy, PA 16947
Phone (570) 297-2121

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1336663871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036202",
            "telephone_number": "610-402-8001",
            "fax_number": "610-402-8240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "610-954-5810",
            "fax_number": "610-954-5480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACK",
        "first_name": "GARY",
        "middle_name": "A.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN641144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.