Active NPI
Annamma Zachariah, M.D
- Pediatrics Physician
- Bronx, NY
National Provider Identifier
1497816946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 196825
- Practice address
- 1826 Arthur Ave
3Rd Floor,Health Center at Tremont
Bronx, NY 10457-6601 - Phone
- (718) 918-8700
- Fax
- (718) 918-8740
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 196825 | NY | Primary |
Addresses
Primary practice location
1826 Arthur Ave
3Rd Floor,Health Center at Tremont
Bronx, NY 10457-6601
Mailing address
133 McKee St
Floral Park, NY 11001-1304
Phone (516) 352-2335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01522687 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160425000473 | NY | Order and Referring Only - Pediatric Medicine | 3375842487 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196825 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island College Hospital | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497816946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 MCKEE ST",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110011304",
"telephone_number": "516-352-2335",
"fax_number": "516-352-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 ARTHUR AVE",
"address_2": "3RD FLOOR,HEALTH CENTER AT TREMONT",
"city": "BRONX",
"state": "NY",
"postal_code": "104576601",
"telephone_number": "718-918-8700",
"fax_number": "718-918-8740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHARIAH",
"first_name": "ANNAMMA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "196825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01522687",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.