Individual provider Active NPI

Stephanie A. Zyck, MD

  • Neurological Surgery Physician
  • Watertown, NY
National Provider Identifier
1689084683
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
325953 Issued in NY
Practice address
826 Washington St FL 3
Watertown, NY 13601-4063
Phone
(315) 785-4000
Fax
(315) 788-3630
NPI assigned
Apr 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35141842 OH
Neurological Surgery Physician 207T00000X 325953 NY Primary

Addresses

Primary practice location

826 Washington St FL 3
Watertown, NY 13601-4063

Mailing address

826 Washington St FL 3
Watertown, NY 13601-4063
Phone (315) 785-4000

Other practice location 1

410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-8714

Other identifiers 2

IdentifierTypeStateIssuer
0442610MedicaidOH
07817196MedicaidNY

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
I20240229002961 NY Practitioner - Neurosurgery 6608112297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Northeastern Ohio University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Medical Practice PCGroup PAC ID 5698853133, 29 clinicians

Practice addresses (Care Compare)

629 Washington St
Watertown, NY 13601-4836
Phone (315) 755-3650

Hospital & facility affiliations

  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157
  • Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion15
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
325953NYMDNeurological Surgery Physician
35141842OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Medical Practice, PC CurrentSince Mar 1, 2025 Accepting new patients
Neurosurgical Associates of Central New York, LLP CurrentSince Jan 15, 2024 Accepting new patients
Upstate Neurosurgery LLP Neurological Surgery CurrentSince Jan 15, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4900 Broad Rd
Ste 1352
Syracuse, NY 13215
Phone (315) 464-4470

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

826 Washington St
Fl 3
Watertown, NY 13601
Phone (315) 785-4000

826 Washington St
#3
Watertown, NY 13601

629 Washington St
Watertown, NY 13601
Phone (315) 755-3650

Interoperability endpoints

  • Direct secure messaging: szyck@samaritanmedicalpractice.medentdirect.com
  • Direct secure messaging: szyck@hiemail.healtheconnections.org

Organizations & group practices 4

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 3

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1689084683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ST FL 3",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014063",
            "telephone_number": "315-785-4000",
            "fax_number": "315-788-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ST FL 3",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014063",
            "telephone_number": "315-785-4000",
            "fax_number": "315-788-3630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-293-8714",
            "fax_number": "614-293-4281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZYCK",
        "first_name": "STEPHANIE",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35141842",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "325953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442610",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07817196",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.