Michael R Zuckman, M.D., P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

174617 Issued in NY

Legal business name

MICHAEL R ZUCKMAN, M.D., P.C.

Practice address

4103 Queens Blvd
Sunnyside, NY 11104-2801

Phone

(718) 361-5261

Fax

(718) 361-5266

NPI assigned

Aug 12, 2006

Last updated

Sep 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Robert Zuckman, M.D.NPI 1134131931

Title

President

Phone

(718) 361-5261

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Robert Zuckman, M.D.

  • Internal Medicine Physician
  • Sunnyside, NY
  • NPI 1134131931
  Authorized official Same address or phone
• Ramsey John Fakhuri, MD

  • Internal Medicine Physician
  • Sunnyside, NY
  • NPI 1215992177
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1568474278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 WEST ST",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281216",
            "telephone_number": "718-361-5261",
            "fax_number": "718-361-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 QUEENS BLVD",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042801",
            "telephone_number": "718-361-5261",
            "fax_number": "718-361-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R ZUCKMAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "ZUCKMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-361-5261",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "174617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01167986",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MD Optics LLC
• Jose A. Mendez, P.A.
• Metropolitan Hospital
• Miahaela Balaescu MD PC
• Michael Ahdoot, MD, PC (Progressive Ophthalmology)
• Silvia Crina Mihaila, RN
• Wendy Miron, LMSW
• Panteha Mohammadalizadeh Rastgar, DDS
• Luz M. Molina, RN
• Amanda Louise Monk, EMT-B

• Primary Care Clinic/Center in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.