Kevin Lloyd Zacharoff, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

162379 Issued in NY

Practice address

1 Flax Pond Woods Rd
Setauket, NY 11733-1623

Phone

(631) 941-3540

Fax

(631) 941-3540

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kevin Lloyd Zacharoff Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598862237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FLAX POND WOODS RD",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331623",
            "telephone_number": "631-941-3540",
            "fax_number": "631-941-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FLAX POND WOODS RD",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331623",
            "telephone_number": "631-941-3540",
            "fax_number": "631-941-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHAROFF",
        "first_name": "KEVIN",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "162379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "ZACHAROFF",
            "middle_name": "LLOYD",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Janet Wu
• Christopher Xikis, P.A.
• Chang Xu
• Kristina Marie Yannucci, NP
• Young Adult Institute, Inc.
• Lauren Sari Zaretsky, M.D.
• Lynn Zeiner
• Suzanne Karen Zezelic, P.T.
• Wen Zhang
• April Zimmerman

• Anesthesiology Physician in Setauket, NY
• Providers in Setauket, NY by specialty
• Anesthesiology Physician in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.