Active NPI
Jian Zhao, M.D.
- Anesthesiology Physician
- Amsterdam, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2344731
- Practice address
- 178 Clizbe Ave
Amsterdam, NY 12010-7520 - Phone
- (518) 843-8745
- Fax
- (518) 842-9633
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2344731 | NY | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2344731 | NY |
Addresses
Primary practice location
178 Clizbe Ave
Amsterdam, NY 12010-7520
Mailing address
178 Clizbe Ave
Amsterdam, NY 12010-7520
Phone (518) 843-8745
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2623229 | Medicaid | NY | |
| 10095329 | Other | NY | CDPHP |
| 4141638 | Other | NY | MVP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1396 Myrtle Ave
Brooklyn, NY 11237-4513
Phone (718) 222-5999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2344731 | NY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynbrook Anesthesia Services, PC | Anesthesiology | Current | Accepting new patients |
| Warwick Anesthesia Group LLC | Anesthesiology | Current | Accepting new patients |
| Sedation Vacation Perioperative Medicine PLLC | Current | Accepting new patients | |
| Centurion Midtown Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Warwick Anesthesia PC | Pain Medicine | Past | Accepting new patients |
Locations
1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313
11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900
8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570
4604 31st Ave
Long Island City, NY 11103
Phone (718) 545-2100
305 E 47th St
New York, NY 10017
Phone (212) 203-8744
10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600
15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224
Organizations & group practices 5
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.
-
- Specialist
- Valley Stream, NY
- NPI 1891235404
-
- Anesthesiology Physician
- New York, NY
- NPI 1750087854
-
- Anesthesiology Physician
- Astoria, NY
- NPI 1881871630
-
- Anesthesiology Physician
- Warwick, NY
- NPI 1689085250
-
- Pain Medicine (Anesthesiology) Physician
- Warwick, NY
- NPI 1578796504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1427164219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 CLIZBE AVE",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120107520",
"telephone_number": "518-843-8745",
"fax_number": "518-842-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 CLIZBE AVE",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120107520",
"telephone_number": "518-843-8745",
"fax_number": "518-842-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHAO",
"first_name": "JIAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "2344731",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "2344731",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2623229",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10095329",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "4141638",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.