Individual provider Active NPI

Neal Bradley Zomback, D.P.M.

  • Podiatrist
  • Cheshire, CT
National Provider Identifier
1730101635
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
466 Issued in CT
Practice address
478 S Main St
Cheshire, CT 06410-3117
Phone
(203) 250-0505
Fax
(203) 651-0049
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X 466 CT
Podiatrist 213E00000X 466 CT Primary

Addresses

Primary practice location

478 S Main St
Cheshire, CT 06410-3117

Mailing address

478 S Main St
Cheshire, CT 06410-3117
Phone (203) 250-0505

Other practice location 1

60 Temple St
New Haven, CT 06510-2716
Phone (203) 562-7688

Other identifiers 1

IdentifierTypeStateIssuer
004090528MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061101000131 CT Practitioner - Podiatry 4486651684 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Z Fein DPM PCGroup PAC ID 5395799332, 10 clinicians

Practice addresses (Care Compare)

478 S Main St
Cheshire, CT 06410-3117
Phone (203) 250-0505

8 School St
Suite 8
Bethel, CT 06801-1846
Phone (203) 743-7083

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions22
Removal of nail tissue499
Removal or shaving of skin growth333
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Sep 12, 2012 Accepting new patients
Michael Z Fein DPM PC Podiatrist CurrentSince Dec 1, 2024 Accepting new patients
Michael Z Fein DPM PC Podiatrist CurrentSince Dec 1, 2024 Accepting new patients
Michael Z Fein DPM PC Podiatrist CurrentSince Jul 24, 2006 Accepting new patients
Complete Foot Care, LLC Podiatrist CurrentSince Jul 24, 2006 Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Past Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients

Locations

8 School St
Ste 8
Bethel, CT 06801
Phone (203) 743-7083

478 S Main St
Ste B1
Cheshire, CT 06410

478 S Main St
Cheshire, CT 06410
Phone (203) 250-0505

2080 Whitney Ave
Hamden, CT 06518
Phone (203) 789-3434

990 Bridgeport Ave
Milford, CT 06460
Phone (203) 877-6501

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

175 Sherman Ave
New Haven, CT 06511
Phone (203) 562-5115

60 Temple St
New Haven, CT 06510
Phone (203) 562-7688

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Organizations & group practices 7

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730101635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103117",
            "telephone_number": "203-250-0505",
            "fax_number": "203-651-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103117",
            "telephone_number": "203-250-0505",
            "fax_number": "203-651-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Temple St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065102716",
            "country_code": "US",
            "telephone_number": "203-562-7688",
            "fax_number": "203-624-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOMBACK",
        "first_name": "NEAL",
        "middle_name": "BRADLEY",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CT",
            "license": "466",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004090528",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.