Organization Active NPI

Robert D Zucker, DPM PC

  • Podiatrist
  • Liverpool, NY
National Provider Identifier
1366622201
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002348-1 Issued in NY
Legal business name
ROBERT D ZUCKER, DPM PC
Practice address
7209 Buckley Rd
Liverpool, NY 13088-3807
Phone
(315) 452-2800
Fax
(315) 452-2801
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Robert D Zucker, MD
Title
Owner & Operator
Phone
(315) 452-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N002348-1 NY Primary

Addresses

Primary practice location

7209 Buckley Rd
Liverpool, NY 13088-3807

Mailing address

PO Box 340
4350 Middle Settlement Rd Suite C
New Hartford, NY 13413-0340
Phone (315) 732-9368

Other identifiers 1

IdentifierTypeStateIssuer
00450073MedicaidNY

National Provider Directory

National Provider Directory

Locations

4350 Middle Settlement Rd
Ste C
New Hartford, NY 13413

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1366622201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "address_2": "4350 MIDDLE SETTLEMENT RD SUITE C",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134130340",
            "telephone_number": "315-732-9368",
            "fax_number": "315-732-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 BUCKLEY RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-452-2800",
            "fax_number": "315-452-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D ZUCKER, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "ZUCKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER & OPERATOR",
        "authorized_official_telephone_number": "315-452-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002348-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00450073",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.