Jacob Zamstein, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

023552 Issued in CT

Practice address

19 Woodland St Ste 23
Hartford, CT 06105-2368

Phone

(860) 522-2251

NPI assigned

Aug 22, 2005

Reactivated

Apr 13, 2006

Last updated

Jun 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Bristol Hospital Multi Specialty Group, Inc

  • General Practice Physician
  • Bristol, CT
  • NPI 1649265679
  Medicare reassignment NPD
• Prime Healthcare, PC

  • Internal Medicine Physician
  • Wethersfield, CT
  • NPI 1184819302
  Medicare reassignment NPD
• Prime Healthcare (Sleep Lab)

  • Sleep Disorder Diagnostic Clinic/Center
  • Wethersfield, CT
  • NPI 1184832354
  NPD
• Greater Hartford Lithotripsy, LLC

  • Urology Physician
  • Hartford, CT
  • NPI 1598989006
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1619969094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JORDAN LN",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091278",
            "telephone_number": "860-263-0253",
            "fax_number": "860-263-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WOODLAND ST STE 23",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052368",
            "telephone_number": "860-522-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Cottage Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "CT",
            "postal_code": "060023080",
            "country_code": "US",
            "telephone_number": "860-242-2900",
            "fax_number": "860-242-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMSTEIN",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "023552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004198083",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jzamstein12593@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Prime Healthcare Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "19 Woodland St Ste 23",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061052368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason Zakko, M.D.
• Amanda Zaleski, PHD, MSC, ACSM-RCEP
• Edwin Zalneraitis, MD
• Aieyat Basim Zalzala, PHD
• Natalie Zambrano-Rodriguez
• Peter A. Zanchelli, MD
• Michael L Zande, PHYSICIAN ASSISTANT
• Michael Frederic Zanker, M.D.
• Alexander Gerard Zannella
• Romana Zar

• Urology Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Urology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.