Individual provider Active NPI

Youssef Iskander Zachary, MD

  • Anesthesiology Physician
  • Staten Island, NY
National Provider Identifier
1689694903
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
210195 Issued in NY
Practice address
686 Manor Rd
Staten Island, NY 10314-4525
Phone
(718) 494-7051
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 210195 NY Primary

Addresses

Primary practice location

686 Manor Rd
Staten Island, NY 10314-4525

Mailing address

686 Manor Rd
Staten Island, NY 10314-4525
Phone (718) 494-7051

Other identifiers 1

IdentifierTypeStateIssuer
01879125MedicaidNY

Other names 1

  • Youssef Iskander Zachary Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210195NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Ambulatory Medical PLLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Gastrointestinal and Liver Disease Specialists, LLP CurrentSince Apr 26, 2016 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Dec 1, 2016 Accepting new patients
Seaview Medical Group, PC Past Accepting new patients
Lo-West Anesthesia, PLLC Anesthesiology Past Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

560 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 748-5219

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

515 Madison Ave
Fl 9
New York, NY 10022
Phone (212) 774-7633

Organizations & group practices 5

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1689694903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144525",
            "telephone_number": "718-494-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144525",
            "telephone_number": "718-494-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARY",
        "first_name": "YOUSSEF",
        "middle_name": "ISKANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "210195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01879125",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUSSEF",
            "last_name": "ZACHARY",
            "middle_name": "ISKANDER",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.