Active NPI
Charles M Zaroff, PH.D.
- Clinical Neuropsychologist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 015052
- Practice address
- 104 E 40TH St
Ste 607
New York, NY 10016-1801 - Phone
- (212) 725-8511
- Fax
- (212) 726-7417
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 015052 | NY | Primary |
Addresses
Primary practice location
104 E 40TH St
Ste 607
New York, NY 10016-1801
Mailing address
104 E 40TH St
Ste 607
New York, NY 10016-1801
Phone (212) 725-8511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2802548 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 E Dimond Blvd
Anchorage, AK 99515-2010
Phone (907) 565-6000
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.15 of 100
- Quality
- 69.59
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1072 | NE | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Neurology Center LLC | Current | Accepting new patients | |
| Father Flanagan's Boys' Home | Current | Accepting new patients | |
| ENT Services PC | Past | Accepting new patients |
Locations
1100 E Dimond Blvd
Anchorage, AK 99515
Phone (907) 565-6000
14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900
555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100
Organizations & group practices 3
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.
-
- Neurology Physician
- Anchorage, AK
- NPI 1235310954
-
dba Boys Town Professional Services
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
-
- Otolaryngology Physician
- Omaha, NE
- NPI 1194822130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558378935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E 40TH ST",
"address_2": "STE 607",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161801",
"telephone_number": "212-725-8511",
"fax_number": "212-726-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E 40TH ST",
"address_2": "STE 607",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161801",
"telephone_number": "212-725-8511",
"fax_number": "212-726-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAROFF",
"first_name": "CHARLES",
"middle_name": "M",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "015052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2802548",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.