Individual provider Active NPI

Thomas Zachmann, RD

  • Registered Dietitian
  • Hicksville, NY
National Provider Identifier
1699338103
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
009640-1 Issued in NY
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

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210414001309 NY Practitioner - Registered Dietitian Or Nutrition Professional 3779991690 Reassigns benefits to 2 organizations

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
New York Dietetics and Nutrition PLLCGroup PAC ID 8224563929, 13 clinicians

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

LicenseStateTypeSpecialty
009640-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jan 12, 2021 Accepting new patients
Foodandfitnesspro, LLC Dietitian, Registered Current Accepting new patients
New York Dietetics and Nutrition PLLC Dietitian, Registered CurrentSince Oct 2, 2024 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.

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.

Verify at the official NPI Registry.