Active NPI
Thomas Zachmann, RD
- Registered Dietitian
- Hicksville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 009640-1
- Practice address
- 400 S Oyster Bay Rd Ste 300
Hicksville, NY 11801-3500 - Phone
- (516) 502-5577
- Fax
- (833) 734-1553
- NPI assigned
- Apr 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 009640-1 | NY | Primary |
Addresses
Primary practice location
400 S Oyster Bay Rd Ste 300
Hicksville, NY 11801-3500
Mailing address
30 Walter CT
Commack, NY 11725-3602
Phone (516) 502-5577
Other practice location 1
200 Broadhollow Rd Ste 207
Melville, NY 11747-4806
Phone (215) 776-0389
Other practice location 2
358 Veterans Memorial Hwy Ste 10
Commack, NY 11725-4326
Phone (631) 203-8133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
358 Veterans Memorial Hwy
Suite 10
Commack, NY 11725-4326
Phone (516) 441-9013
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009640-1 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Foodandfitnesspro, LLC | Dietitian, Registered | Current | Accepting new patients |
| New York Dietetics and Nutrition PLLC | Dietitian, Registered | Current | Accepting new patients |
Locations
358 Veterans Memorial Hwy
Ste 10
Commack, NY 11725
Phone (516) 441-9013
400 S Oyster Bay Rd
Ste 300
Hicksville, NY 11801
Phone (215) 776-0389
200 Broadhollow Rd
Ste 207
Melville, NY 11747
Phone (516) 906-4970
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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.
-
- Registered Dietitian
- Commack, NY
- NPI 1669299053
Dietitian, Registered
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1699338103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 WALTER CT",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253602",
"telephone_number": "516-502-5577",
"fax_number": "833-734-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S OYSTER BAY RD STE 300",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118013500",
"telephone_number": "516-502-5577",
"fax_number": "833-734-1553"
}
],
"practiceLocations": [
{
"address_1": "200 Broadhollow Rd Ste 207",
"address_purpose": "LOCATION",
"city": "Melville",
"state": "NY",
"postal_code": "117474806",
"country_code": "US",
"telephone_number": "215-776-0389",
"fax_number": "833-734-1553",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "358 Veterans Memorial Hwy Ste 10",
"address_purpose": "LOCATION",
"city": "Commack",
"state": "NY",
"postal_code": "117254326",
"country_code": "US",
"telephone_number": "631-203-8133",
"fax_number": "833-734-1553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZACHMANN",
"first_name": "THOMAS",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-19",
"last_updated": "2021-05-17",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "009640-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.