Individual provider Active NPI

Michael Anthony Zeitchek, DO

  • Surgery Physician
  • Hackensack, NJ
National Provider Identifier
1538628581
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MB12528600 Issued in NJ
Practice address
5 Summit Ave Ste 105
Hackensack, NJ 07601-1271
Phone
(551) 996-2900
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MB12528600 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5 Summit Ave Ste 105
Hackensack, NJ 07601-1271

Mailing address

144 Wentworth Ave
Albertson, NY 11507-1740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250515001220 NJ Practitioner - General Surgery 0143748913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Touro Un Col of Osteopathic Medicine, New York, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ccmma NJ LLCGroup PAC ID 8123392495, 31 clinicians
Hackensack Surgery and Wound Care LLCGroup PAC ID 3779974274, 9 clinicians

Practice addresses (Care Compare)

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

5 Summit Ave
Suite 105
Hackensack, NJ 07601-1271
Phone (551) 996-2900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ccmma NJ LLC Surgery CurrentSince Aug 1, 2025 Accepting new patients
Hackensack Surgery and Wound Care LLC Surgery CurrentSince May 1, 2025 Accepting new patients

Locations

5 Summit Ave
Ste 105
Hackensack, NJ 07601
Phone (201) 996-2900

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1538628581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 WENTWORTH AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SUMMIT AVE STE 105",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011271",
            "telephone_number": "551-996-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEITCHEK",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB12528600",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.