Individual provider Active NPI

Zachariah M George, M.D.

  • Neurological Surgery Physician
  • New York, NY
National Provider Identifier
1679733711
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
60246770 Issued in NY
Practice address
1 Gustave L Levy PL
Box #1136
New York, NY 10029-6500
Phone
(212) 241-5708
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 60246770 NY Primary

Addresses

Primary practice location

1 Gustave L Levy PL
Box #1136
New York, NY 10029-6500

Mailing address

333 E 93Rd St
Apt #5D
New York, NY 10128-5503
Phone (978) 604-9037

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
I20130219000173 NY Practitioner - Neurosurgery 1052566262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
State University of Ny Upstate Medical University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological Surgery Practice of Long Island PLLCGroup PAC ID 0345131785, 14 clinicians

Practice addresses (Care Compare)

353 Veterans Memorial Hwy
Suite 303
Commack, NY 11725-4325
Phone (631) 864-3900

Hospital & facility affiliations

  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion32
Laminectomy or laminotomy (partial removal of spine bones)14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60246770NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Neurological Surgery Past Accepting new patients
NSPC Plastics PastSince Aug 1, 2012 Accepting new patients

Organizations & group practices 3

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 1

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1679733711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 93RD ST",
            "address_2": "APT #5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285503",
            "telephone_number": "978-604-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "BOX #1136",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-241-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ZACHARIAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "60246770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.