Individual provider Active NPI

Samuel Zachary, DO

  • Anesthesiology Physician
  • Freehold, NJ
National Provider Identifier
1700090289
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB08571300 Issued in NJ
Practice address
901 W Main St
Freehold, NJ 07728-2537
Phone
(732) 294-2876
NPI assigned
May 10, 2007
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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 25MB08571300 NJ Primary

Addresses

Primary practice location

901 W Main St
Freehold, NJ 07728-2537

Mailing address

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 294-2876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20091030000548 NJ Practitioner - Anesthesiology 4082751672 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1914
Phone (201) 488-0066

55 Willow LN
Suite 201
Englishtown, NJ 07726-8434
Phone 7323702220120

66 Sunset Strip
Suite 101
Succasunna, NJ 07876-1362
Phone (862) 244-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Jul 17, 2023 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Apr 1, 2014 Accepting new patients
Parkway Anesthesia Associates LLC Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Advanced Gastroenterology Associates, LLC PastSince Jul 17, 2023 Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients
Liberty Anesthesia, PC Anesthesiology Past Accepting new patients

Locations

55 Willow Ln
Ste 201
Englishtown, NJ 07726
Phone (732) 370-2220

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

2480 State Route 27
North Brunswick, NJ 08902
Phone (732) 821-0011

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

66 Sunset Strip
Ste 101
Succasunna, NJ 07876
Phone (862) 244-8100

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1700090289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-294-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-294-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARY",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB08571300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.