Individual provider Active NPI

Zdenka Safar, MD

  • Pediatrics Physician
  • Silver Creek, NY
National Provider Identifier
1528110483
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
110031 Issued in NY
Practice address
194 Central Ave
Silver Creek, NY 14136
Phone
(716) 934-4158
Fax
(716) 934-4971
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 110031 NY Primary

Addresses

Primary practice location

194 Central Ave
Silver Creek, NY 14136

Mailing address

194 Central Ave
Silver Creek, NY 14136
Phone (716) 934-4158

Other identifiers 4

IdentifierTypeStateIssuer
000503932002OtherBLUE CROSS OF WNY
041026000158OtherFIDELIS
1201425OtherINDEPENDENT HEALTH
00010154202OtherUNIVERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
110031NYMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528110483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 CENTRAL AVE",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "14136",
            "telephone_number": "716-934-4158",
            "fax_number": "716-934-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 CENTRAL AVE",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "14136",
            "telephone_number": "716-934-4158",
            "fax_number": "716-934-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAR",
        "first_name": "ZDENKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "110031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF WNY",
            "identifier": "000503932002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "041026000158",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1201425",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010154202",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Creek, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.