Organization Active NPI

M Zaeem Ansari, M.D., P.C.

  • Cardiovascular Disease Physician
  • Fulton, NY
National Provider Identifier
1437247749
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
114948 Issued in NY
Legal business name
M ZAEEM ANSARI, M.D., P.C.
Practice address
522 S 4TH St
Suite 1500
Fulton, NY 13069-2946
Phone
(315) 593-2010
Fax
(315) 593-2047
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Dr. Zaeem Ansari, MD
Title
President
Phone
(315) 593-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 114948 NY Primary

Addresses

Primary practice location

522 S 4TH St
Suite 1500
Fulton, NY 13069-2946

Mailing address

522 S 4TH St
Suite 1500
Fulton, NY 13069-2946
Phone (315) 593-2010

Other identifiers 1

IdentifierTypeStateIssuer
00569571MedicaidNY

National Provider Directory

National Provider Directory

Locations

522 S 4th St
Ste 1500
Fulton, NY 13069
Phone (315) 593-2010

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1437247749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S 4TH ST",
            "address_2": "SUITE 1500",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692946",
            "telephone_number": "315-593-2010",
            "fax_number": "315-593-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S 4TH ST",
            "address_2": "SUITE 1500",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692946",
            "telephone_number": "315-593-2010",
            "fax_number": "315-593-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M ZAEEM ANSARI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "ZAEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-593-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "114948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00569571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.