Individual provider Active NPI

James Zegers, ATC/L

  • Athletic Trainer
  • Levittown, NY
National Provider Identifier
1750789368
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
000596-1 Issued in NY
Practice address
115 Stirrup LN
Levittown, NY 11756-3840
Phone
(516) 398-9498
NPI assigned
Dec 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 000596-1 NY Primary

Addresses

Primary practice location

115 Stirrup LN
Levittown, NY 11756-3840

Mailing address

115 Stirrup LN
Levittown, NY 11756-3840
Phone (516) 398-9498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000596-1NYMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1750789368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 STIRRUP LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563840",
            "telephone_number": "516-398-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 STIRRUP LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563840",
            "telephone_number": "516-398-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGERS",
        "first_name": "JAMES",
        "credential": "ATC/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000596-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.