Individual provider Active NPI

Mark Zuchlewski, CP, FAAOP

  • Prosthetist
  • Clarence, NY
National Provider Identifier
1366405979
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CP002723 Issued in DE
Practice address
10654 Main St
Clarence, NY 14031-1704
Phone
(716) 759-9111
Fax
(716) 759-9112
NPI assigned
Apr 7, 2006
Last updated
Nov 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X CP002723 DE Primary

Addresses

Primary practice location

10654 Main St
Clarence, NY 14031-1704

Mailing address

10654 Main St
Clarence, NY 14031-1704
Phone (716) 759-9111

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

State licenses

LicenseStateTypeSpecialty
CP002723DEMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosthetic Home Services Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1366405979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10654 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311704",
            "telephone_number": "716-759-9111",
            "fax_number": "716-759-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10654 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311704",
            "telephone_number": "716-759-9111",
            "fax_number": "716-759-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCHLEWSKI",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "CP, FAAOP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "DE",
            "license": "CP002723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.