Active NPI
Yechiel Zagelbaum, DO
- Pediatrics Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 215102
- Practice address
- 200 Wallabout St Apt 3C
Brooklyn, NY 11206-5541 - Phone
- (718) 486-9800
- Fax
- (718) 486-5553
- NPI assigned
- Sep 27, 2006
- Last updated
- Sep 20, 2018
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 215102 | NY | Primary |
Addresses
Primary practice location
200 Wallabout St Apt 3C
Brooklyn, NY 11206-5541
Mailing address
1453 East 26TH St.
Brooklyn, NY 11210
Phone (718) 486-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02225309 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Urgi-Med Family Medical Center | Current | Accepting new patients | |
| Finif Medical, PC | Current | Accepting new patients | |
| Ernc Operating, LLC | Past | Accepting new patients | |
| Womens League Community Residence | Past | Accepting new patients | |
| University Group Medical Associates, P.C | Pediatrics | Past | Accepting new patients |
| Kayla Pediatrics, PC | Pediatrics | Past | Accepting new patients |
| Maimonides Medical Center - MMC Emergency Physicians FPP | Past | Accepting new patients |
Locations
200 Wallabout St
Ste 1C
Brooklyn, NY 11206
Phone (718) 301-8825
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- yechielzagelbaum@mai.allscriptsdirect.net
- yez4001@direct.nyp.org
Ownership & related parties
All facility ownership & control disclosures 6
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Pharney Group LLC. | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (13.5%) | Apr 1, 2008 |
| Alpine Rehabilitation and Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (21%) | Mar 11, 2008 |
| Norwich Rehabilitation and Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (21%) | Jun 24, 2009 |
| Yorktown Rehabilitation & Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (21%) | Oct 9, 2015 |
| Orchard Rehabilitation & Nursing Center | Skilled nursing facility | Corporate Officer | Sep 6, 2016 |
| Massena Rehab and Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (21%) | Dec 31, 2020 |
Owned or controlled facilities with NPI records 6
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Massena Rehabilitation & Nursing Center
- Skilled Nursing Facility
- Massena, NY
- NPI 1255830162
5% Or Greater Direct Ownership Interest
-
dba Norwich Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Norwich, NY
- NPI 1477854867
5% Or Greater Direct Ownership Interest
-
dba Orchard Rehabilitation & Nursing Center
- Skilled Nursing Facility
- Medina, NY
- NPI 1730674730
Corporate Officer
-
dba Alpine Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Little Falls, NY
- NPI 1548497308
5% Or Greater Direct Ownership Interest
-
dba Tarrytown Hall Care Center
- Skilled Nursing Facility
- Tarrytown, NY
- NPI 1528230539
5% Or Greater Direct Ownership Interest
-
dba Yorktown Rehabilitation & Nursing Center
- Skilled Nursing Facility
- Cortlandt Manor, NY
- NPI 1326559428
5% Or Greater Direct Ownership Interest
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1942954623
-
- Emergency Medicine Physician
- Lakewood, NJ
- NPI 1639427495
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1063983054
-
- Pediatrics Physician
- Linden, NJ
- NPI 1851893002
-
- Pediatrics Physician
- Miami Beach, FL
- NPI 1629743562
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1982708202
-
dba Coney Island Medical Group
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Pediatrics
-
- Intellectual Disabilities Intermediate Care Facility
- Brooklyn, NY
- NPI 1093921363
-
dba The Rehabilitation and Nursing Center at Everett
- Skilled Nursing Facility
- Everett, MA
- NPI 1053665240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1558452730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1453 EAST 26TH ST.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11210",
"telephone_number": "718-486-9800",
"fax_number": "718-486-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WALLABOUT ST APT 3C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065541",
"telephone_number": "718-486-9800",
"fax_number": "718-486-5553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAGELBAUM",
"first_name": "YECHIEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "215102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02225309",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.