Individual provider Active NPI

Zacharys Taye, CNIM

  • Technician/Technologist
  • Rockville Centre, NY
National Provider Identifier
1639823586
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Practice address
100 Merrick Rd Ste 128W
Rockville Centre, NY 11570-4821
Phone
(516) 255-9031
NPI assigned
Feb 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X Primary

Addresses

Primary practice location

100 Merrick Rd Ste 128W
Rockville Centre, NY 11570-4821

Mailing address

47 Cranston St
Boston, MA 02130-1805
Phone (617) 615-5754

Other identifiers 1

IdentifierTypeStateIssuer
4710OtherNHCNIM

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nspc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Surgery Practice of Long Island PLLC CurrentSince Feb 13, 2022 Accepting new patients
NSPC Plastics PastSince Feb 13, 2022 Accepting new patients

Locations

100 Merrick Rd
Ste 128W
Rockville Ctr, NY 11570
Phone (516) 255-9031

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1639823586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CRANSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021301805",
            "telephone_number": "617-615-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRICK RD STE 128W",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704821",
            "telephone_number": "516-255-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYE",
        "first_name": "ZACHARYS",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNIM",
            "identifier": "4710",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nspc.com",
            "affiliation": "N",
            "address_1": "100 Merrick Rd Ste 128W",
            "city": "Rockville Centre",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115704821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.