Active NPI
Albert E Zak, D.D.S.
- General Practice Dentistry
- Fairport, NY
National Provider Identifier
1598847717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- P50274
- Practice address
- 6827 Pittsford Palmyra Rd
Fairport, NY 14450-3517 - Phone
- (585) 223-2221
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | P50274 | NY | Primary |
Addresses
Primary practice location
6827 Pittsford Palmyra Rd
Fairport, NY 14450-3517
Mailing address
6827 Pittsford Palmyra Rd
Fairport, NY 14450-3517
Phone (585) 223-2221
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150312000937 | NY | Order and Referring Only - Dentist | 5991021875 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P50274 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zak & Vitagliano Dental PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Fairport, NY
- NPI 1366755779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1598847717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6827 PITTSFORD PALMYRA RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503517",
"telephone_number": "585-223-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6827 PITTSFORD PALMYRA RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503517",
"telephone_number": "585-223-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAK",
"first_name": "ALBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "P50274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.