Individual provider Active NPI

Zamir Nestelbaum, MD

  • Psychiatry Physician
  • Worcester, MA
National Provider Identifier
1518971399
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
59160 Issued in MA
Practice address
338 Highland St
Worcester, MA 01602-2143
Phone
(508) 752-5880
Fax
(508) 831-9967
NPI assigned
Jul 28, 2006
Last updated
Dec 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 59160 MA Primary
Psychiatry Physician 2084P0800X 150479 NY

Addresses

Primary practice location

338 Highland St
Worcester, MA 01602-2143

Mailing address

338 Highland St
Newton Square Counseling Center
Worcester, MA 01602-2143
Phone (508) 752-5880

Other identifiers 2

IdentifierTypeStateIssuer
51398OtherMAHEALTH NEW ENGLAND
3033848MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050406001123 MA Practitioner - Psychiatry 2163479676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Massachusetts Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newton Square Health Center PCGroup PAC ID 4183665615, 3 clinicians

Practice addresses (Care Compare)

338 Highland St
Worcester, MA 01602-2143
Phone (508) 752-5880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150479NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Square Health Center, PC CurrentSince May 11, 2011 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince May 16, 2011 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince May 16, 2011 Accepting new patients
Steward Medical Group, Inc. Past Accepting new patients

Locations

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1518971399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 HIGHLAND ST",
            "address_2": "NEWTON SQUARE COUNSELING CENTER",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022143",
            "telephone_number": "508-752-5880",
            "fax_number": "508-831-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 HIGHLAND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022143",
            "telephone_number": "508-752-5880",
            "fax_number": "508-831-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTELBAUM",
        "first_name": "ZAMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "59160",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "150479",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "51398",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3033848",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.