Individual provider Active NPI

Eimad Basem Zakariya, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Bayside, NY
National Provider Identifier
1497068019
Registry record updated Jul 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
21527 23Rd Ave
Bayside, NY 11360-2224
Phone
(718) 229-7136
NPI assigned
Jul 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

21527 23Rd Ave
Bayside, NY 11360-2224

Mailing address

21527 23Rd Ave
Bayside, NY 11360-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190501000252 IL Order and Referring Only - PathologyPractitioner - Pathology 5395087969

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1279929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279929600000",
    "number": "1497068019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21527 23RD AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21527 23RD AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602224",
            "telephone_number": "718-229-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKARIYA",
        "first_name": "EIMAD",
        "middle_name": "BASEM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-24",
        "last_updated": "2010-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.