Individual provider Active NPI

Anna Zuckerman

  • Pediatrics Physician
  • Seattle, WA
National Provider Identifier
1467814491
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD61425028 Issued in WA
Practice address
4400 37TH Ave S
Seattle, WA 98118-1609
Phone
(206) 461-6957
NPI assigned
Mar 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD61425028 WA Primary

Addresses

Primary practice location

4400 37TH Ave S
Seattle, WA 98118-1609

Mailing address

15 Rosedale Ave
Millburn, NJ 07041-1915

Other practice location 1

111 Colchester Ave
222WP2
Burlington, VT 05401-1473
Phone (802) 847-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230720003051 WA Practitioner - Pediatric Medicine 8022303650 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Sep 1, 2023 Accepting new patients
Montefiore Medical Center Pediatrics Current Accepting new patients
Neighborcare Health CurrentSince Sep 1, 2023 Accepting new patients
Neighborcare Health Current Accepting new patients
The Association of University Physicians CurrentSince Jul 11, 2023 Accepting new patients
The Association of Chrmc and University Physicians Pediatrics CurrentSince Jul 25, 2023 Accepting new patients
Association of CHMC and University Physicians Pediatrics CurrentSince Jul 25, 2023 Accepting new patients
Neighborcare Health Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1467814491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROSEDALE AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 37TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181609",
            "telephone_number": "206-461-6957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_2": "222WP2",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUCKERMAN",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD61425028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.