Zachary Julian Palace, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

208688 Issued in NY

Practice address

5901 Palisade Ave
Bronx, NY 10471-1205

Phone

(718) 581-1495

Fax

(718) 581-1012

NPI assigned

Sep 23, 2005

Last updated

Nov 30, 2007By 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

Medicare fee-for-service enrollment

Enrolled in NY

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• The Hebrew Home for the Aged at Riverdale

  • Skilled Nursing Facility
  • Bronx, NY
  • NPI 1205939667

  W-2 Managing Employee

  CMS ownership

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.

• The Hebrew Home for the Aged at Riverdale

  • Ph.D. Medical Genetics
  • Bronx, NY
  • NPI 1972782449
  Medicare reassignment NPD
• Hebrew Home for the Aged at Riverdale

  dba ElderServe Certified Home Health Care Agency/ Riverspring CHHA

  • Home Health Agency
  • Bronx, NY
  • NPI 1467435669
  NPD
• Adult Medical Care, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Staten Island, NY
  • NPI 1215047980

  Geriatric Medicine

  NPD (past)
• The Hebrew Home for the Aged at Riverdale

  • Skilled Nursing Facility
  • Bronx, NY
  • NPI 1205939667
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1669468740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BEDFORD RD",
            "city": "WESLEY HILLS",
            "state": "NY",
            "postal_code": "109521301",
            "telephone_number": "718-581-1495",
            "fax_number": "718-581-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 PALISADE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711205",
            "telephone_number": "718-581-1495",
            "fax_number": "718-581-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACE",
        "first_name": "ZACHARY",
        "middle_name": "JULIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "208688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Pak, PA
• Yosif Nidal Pak, DO
• Nelly Pakh, PHARMD
• Vetrivel Pakkiriappan, PT
• Soroush Pakniyat-Jahromi
• Patricia Andrea Palacio, L.M.H.C.
• Rossdlyn Palacio, MHC
• Jimena Alexandra Palacios Paredes, MD
• Bianca Palacios
• Brian Palacios, MD

• Geriatric Medicine (Internal Medicine) Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.