Individual provider Active NPI

Eugene Zak, M.D.

  • Internal Medicine Physician
  • Fall River, MA
National Provider Identifier
1437145968
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
80765 Issued in MA
Practice address
289 Pleasant St
Suite 402
Fall River, MA 02721-3005
Phone
(508) 679-1906
Fax
(508) 673-6630
NPI assigned
Sep 20, 2005
Last updated
Jun 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 80765 MA Primary

Addresses

Primary practice location

289 Pleasant St
Suite 402
Fall River, MA 02721-3005

Mailing address

289 Pleasant St
Suite 402
Fall River, MA 02721-3005
Phone (508) 679-1906

Other names 1

  • Yvegeny Zak Former name

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
I20080605000025 MA Practitioner - Internal Medicine 2264501824 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80765MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince May 28, 1996 Accepting new patients
Prima Care, PC CurrentSince May 28, 1996 Accepting new patients
Southcoast Hospitals Group, Inc Current Accepting new patients
Southcoast Hospitals Group Inc CurrentSince Oct 1, 2006 Accepting new patients
Southcoast Hospitals Group, Inc CurrentSince Oct 1, 2006 Accepting new patients

Locations

289 Pleasant St
#402
Fall River, MA 02721
Phone (508) 646-7615

289 Pleasant St
Ste 402
Fall River, MA 02721
Phone (508) 679-1906

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1437145968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST",
            "address_2": "SUITE 402",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-679-1906",
            "fax_number": "508-673-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST",
            "address_2": "SUITE 402",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-679-1906",
            "fax_number": "508-673-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAK",
        "first_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVEGENY",
            "last_name": "ZAK",
            "credential": "M..D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.