Individual provider Active NPI

Laura B Zucker, MD

  • Family Medicine Physician
  • Arlington, MA
National Provider Identifier
1396745766
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
158392 Issued in MA
Practice address
11 Water St
Ste 1a
Arlington, MA 02476-4812
Phone
(781) 648-9700
Fax
(781) 648-0234
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 158392 MA Primary

Addresses

Primary practice location

11 Water St
Ste 1a
Arlington, MA 02476-4812

Mailing address

11 Water St
Ste 1a
Arlington, MA 02476-4812
Phone (781) 648-9700

Other identifiers 1

IdentifierTypeStateIssuer
2068231MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110221000950 MA Practitioner - Family Practice 2264613447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Group PCGroup PAC ID 5395717920, 16 clinicians

Practice addresses (Care Compare)

11 Water St
1A
Arlington, MA 02476-4814

11 Water St
Suite 1a
Arlington, MA 02476-4784

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Group PC Family Medicine CurrentSince Jul 28, 2003 Accepting new patients
Family Practice Group, P.C. Past Accepting new patients

Locations

11 Water St
Arlington, MA 02476

11 Water St
Ste 1A
Arlington, MA 02476
Phone (781) 648-9700

22 Mill St
Ste 204
Arlington, MA 02476
Phone (781) 646-1043

Interoperability endpoints

  • Direct secure messaging: lzucker554514@direct.bilh.masshiway.net

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1396745766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WATER ST",
            "address_2": "STE 1A",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764812",
            "telephone_number": "781-648-9700",
            "fax_number": "781-648-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WATER ST",
            "address_2": "STE 1A",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764812",
            "telephone_number": "781-648-9700",
            "fax_number": "781-648-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKER",
        "first_name": "LAURA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "158392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2068231",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.