Individual provider Active NPI

Erik Zachwieja, MD

  • Orthopaedic Surgery Physician
  • Miami, FL
National Provider Identifier
1386061588
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD467103 Issued in PA
Practice address
1611 NW 12TH Ave
Miami, FL 33136-1005
Phone
(630) 518-5031
NPI assigned
Mar 25, 2014
Last updated
Jun 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X MD467103 PA Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Miami, FL 33136-1005

Mailing address

PO Box 016960 (D-27)
Department of Orthopaedics
Miami, FL 33101
Phone (305) 585-1315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20190620001054 NJ Practitioner - Orthopedic Surgery 6507190824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Virginia School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

28 -04 Broadway
Fair Lawn, NJ 07410-3920
Phone (201) 791-4434

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD467103PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Orthopaedic Associates, P.a. Orthopaedic Surgery Current Accepting new patients
Garden State Orthopaedic Associates, P.a. Orthopaedic Surgery CurrentSince Aug 31, 2020 Accepting new patients
Garden State Orthopaedic Associates, P.a. CurrentSince Aug 31, 2020 Accepting new patients
Garden State Surgical Center, LLC Past Accepting new patients

Locations

925 Clifton Ave
Ste 106
Clifton, NJ 07013
Phone (973) 330-0700

28-04 Broadway
Fair Lawn, NJ 07410
Phone (201) 791-4434

75 Lincoln Hwy
Ste 300
Iselin, NJ 08830
Phone (201) 791-4434

400 Franklin Tpke
Ste 400
Mahwah, NJ 07430
Phone (201) 825-2266

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1386061588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 016960 (D-27)",
            "address_2": "DEPARTMENT OF ORTHOPAEDICS",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33101",
            "telephone_number": "305-585-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "630-518-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHWIEJA",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD467103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.