NPIMap

Individual provider Active NPI

Haralabos Zacharatos, D.O.

  • Vascular Surgery Physician
  • Edison, NJ
National Provider Identifier
1639345333
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MB10281100 Issued in NJ
Practice address
65 James St
Edison, NJ 08820
Phone
(732) 321-7010
Fax
(732) 744-5873
NPI assigned
May 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 280941 NY
Neurology Physician 2084N0400X 25MB10281100 NJ
Vascular & Interventional Radiology Physician 2085R0204X 280941 NY
Vascular Surgery Physician 2086S0129X 25MB10281100 NJ Primary

Addresses

Primary practice location

65 James St
Edison, NJ 08820

Mailing address

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7010

Other identifiers 1

IdentifierTypeStateIssuer
04274237MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180508000037 NJ Practitioner - NeurologyPractitioner - Interventional Radiology 5395989719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Interventional Radiology
Education
Rutgers School of Dental Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7189

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Community Hospital Group, Inc. Neurology CurrentSince Oct 21, 2021 Accepting new patients
Community Hospital Group Inc Current Accepting new patients
HMH Hospitals Corporation CurrentSince Apr 1, 2022 Accepting new patients
HMH Hospitals Corporation CurrentSince Apr 1, 2022 Accepting new patients
Community Hospital Group, Inc Vascular Surgery Past Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Vascular Surgery Past Accepting new patients
Community Hospital Group, Inc Vascular Surgery Past Accepting new patients

Locations

65 James St
Lot G
Edison, NJ 08820
Phone (732) 321-7487

65 James St
Edison, NJ 08820
Phone (732) 321-7010

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

Interoperability endpoints

  • Direct secure messaging: haralabos.zacharatos@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1639345333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203947",
            "telephone_number": "732-321-7010",
            "fax_number": "732-744-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-321-7010",
            "fax_number": "732-744-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARATOS",
        "first_name": "HARALABOS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-02",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "280941",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MB10281100",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "280941",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MB10281100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04274237",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.