Oluleke Zaccheus, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P131670 Issued in NY

Practice address

6970 Grand Central Pkwy
Forest Hills, NY 11375-3949

Phone

(718) 263-4600

Fax

(718) 263-4910

NPI assigned

Jun 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Internal Medicine Solutions P.C.

  • Internal Medicine Physician
  • Woodside, NY
  • NPI 1467821694
  Medicare reassignment NPD
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  dba Dermatology - HMFP at BIDMC

  • Dermatology Physician
  • Boston, MA
  • NPI 1043250616
  NPD (past)
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  dba HMFP - Surgery

  • Surgery Physician
  • Boston, MA
  • NPI 1720037385
  NPD (past)

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

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1477815082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E 110TH ST APT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293364",
            "telephone_number": "201-218-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 GRAND CENTRAL PKWY",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753949",
            "telephone_number": "718-263-4600",
            "fax_number": "718-263-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCHEUS",
        "first_name": "OLULEKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-10",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P131670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zulaiho Yusupov, MS
• Ksenya Yusupova, MS SPEECH PATHOLOGY
• Laura Yusupova, LMSW
• Margarita Yusupova
• Magdalena Zabiega
• Tooraj Zahedi, MD
• Zoya Zak, DDS
• Yulia Zakaryan
• Rachel Zakhary, PA-C
• Reah Amelia Zaman

• Internal Medicine Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.