Gregory Zacarese, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86088710 Issued in NY

Practice address

17 Wimbledon Dr
Roslyn, NY 11576-3083

Phone

(151) 683-0022

NPI assigned

Apr 5, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1659123107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79-25 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11427",
            "telephone_number": "718-264-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WIMBLEDON DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763083",
            "telephone_number": "151-683-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACARESE",
        "first_name": "GREGORY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86088710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Jean Yu, M.D.
• Gregory Yunov
• Steve Yusupov, DDS, MD
• Marina Yusupova
• Hoda Abdelmoneim Zaabal, PHYSICAL THERAPIST
• Alan R Zakheim, M.D.
• Samantha Zaleski, PA
• Umme Asma Zaman, MD
• Carley Zanders, PSY.D.
• Maria Zanetis, P.A.

• Registered Dietitian in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.