Active NPI
Andrew Richard Zaager, M.D.
- Internal Medicine Physician
- Plainview, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 155654
- Practice address
- 630 Old Country Rd
Plainview, NY 11803-4909 - Phone
- (516) 937-1121
- Fax
- (516) 937-1126
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2019-00955 | NC | |
| Internal Medicine Physician | 207R00000X | 83125 | SC | |
| Internal Medicine Physician | 207R00000X | S4251 | TX | |
| Internal Medicine Physician | 207R00000X | 155654 | NY | Primary |
| Internal Medicine Physician | 207R00000X | E-12049 | AR | |
| Internal Medicine Physician | 207R00000X | 82305 | GA |
Addresses
Primary practice location
630 Old Country Rd
Plainview, NY 11803-4909
Mailing address
630 Old Country Rd
Plainview, NY 11803-4909
Phone (516) 937-1121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Spring Building
Suite 900
Little Rock, AR 72201-2425
Phone (800) 997-6196
80 State St
Albany, NY 12207-2541
Phone (800) 997-6196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-12049 | AR | MD | Internal Medicine Physician |
| 82305 | GA | MD | Internal Medicine Physician |
| 2019-00955 | NC | MD | Internal Medicine Physician |
| 155654 | NY | MD | Internal Medicine Physician |
| S4251 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Current | Accepting new patients |
Locations
300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
80 State St
Albany, NY 12207
Phone (415) 742-8411
Interoperability endpoints
- andrew.zaager.1@30520.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1174931448
AR, NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1770519977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 OLD COUNTRY RD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034909",
"telephone_number": "516-937-1121",
"fax_number": "516-937-1126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 OLD COUNTRY RD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034909",
"telephone_number": "516-937-1121",
"fax_number": "516-937-1126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAAGER",
"first_name": "ANDREW",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2019-00955",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "83125",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S4251",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "155654",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-12049",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "82305",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.