Individual provider Active NPI

Bruce Mitchel Zagelbaum, M.D.

  • Ophthalmology Physician
  • Hicksville, NY
National Provider Identifier
1679514327
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
178829 Issued in NY
Practice address
360 S Oyster Bay Rd
Hicksville, NY 11801-3508
Phone
(516) 938-6363
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 178829 NY Primary

Addresses

Primary practice location

360 S Oyster Bay Rd
Hicksville, NY 11801-3508

Mailing address

360 S Oyster Bay Rd
Hicksville, NY 11801-3508

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080924000709 NY Practitioner - Ophthalmology 5698668671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

360 S Oyster Bay Rd
Hicksville, NY 11801-3508
Phone (516) 938-6363

Merit-based Incentive Payment System (MIPS)

Final score
63.07 of 100Reported as group
Quality
26.67
Improvement activities
40
Cost
74.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178829NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Ophthalmology, PC CurrentSince Sep 1, 2000 Accepting new patients
BMZ Group Inc Ophthalmology PastSince Jan 5, 2010 Accepting new patients

Locations

360 S Oyster Bay Rd
Hicksville, NY 11801
Phone (516) 487-1061

333 E Shore Rd
Ste 202
Manhasset, NY 11030
Phone (516) 418-2099

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1679514327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013508",
            "telephone_number": "516-938-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGELBAUM",
        "first_name": "BRUCE",
        "middle_name": "MITCHEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "178829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.