Zachary T. Bloomgarden MD PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

125739 Issued in NY

Legal business name

ZACHARY T. BLOOMGARDEN MD PC

Practice address

35 East 85TH Street
New York, NY 10028-0954

Phone

(212) 879-5933

Fax

(212) 861-7429

NPI assigned

Apr 6, 2010

Organization subpart

No

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

Authorized official

Name

Zachary T Bloomgarden, MDNPI 1700892635

Title

Physician

Phone

(212) 879-5933

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zachary T. Bloomgarden, MD

  • Specialist
  • New York, NY
  • NPI 1700892635
  Medicare reassignment NPD Authorized official
• Marlee Zweifach, M.S., R.D., C.D.E.,

  • Registered Dietitian
  • New York, NY
  • NPI 1114097466

  Dietitian, Registered

  Medicare reassignment NPD
• Elliot Jay Riegelhaupt, M.D..

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1548338510
  NPD (past)

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1366767014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 EAST 85TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280954",
            "telephone_number": "212-879-5933",
            "fax_number": "212-861-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 EAST 85TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280954",
            "telephone_number": "212-879-5933",
            "fax_number": "212-861-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY T. BLOOMGARDEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "BLOOMGARDEN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-879-5933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "000529-1",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "125739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00411050",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00235089",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Ann Zachariah
• Philip Zachariah, M.D
• Stephen G Zachariah, MD
• Teena Zachariah, MD
• Ioannis Zacharioudakis, M.D.
• Lesonia Leontyne Zachary, CASAC T
• Shayna Solomon Zachary, M.D.
• Alexis Lynn Zachem, MD
• Julia Zachman
• Michael R Zachmann, LCSW

• Endocrinology, Diabetes & Metabolism Physician in New York, NY
• Providers in New York, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.