NPIMap

Individual provider Active NPI

Jessica Afrose Zaman, MD

  • Surgery Physician
  • Verona, WI
National Provider Identifier
1770894115
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
63654-20 Issued in WI
Practice address
419 Prairie Way Blvd
Verona, WI 53593-2040
Phone
(405) 708-0707
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 63654-20 WI Primary

Addresses

Primary practice location

419 Prairie Way Blvd
Verona, WI 53593-2040

Mailing address

419 Prairie Way Blvd
Verona, WI 53593-2040
Phone (405) 708-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103000935 NY Practitioner - General Surgery 5991025538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

50 New Scotland Ave
Albany, NY 12208-3403
Phone (518) 262-9777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)12
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Surgery CurrentSince Jun 1, 2019 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Surgery Current Accepting new patients
Albany Medical College CurrentSince Sep 19, 2016 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Sep 19, 2016 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

50 New Scotland Ave
Fl 5
Albany, NY 12208

50 New Scotland Ave
Albany, NY 12208
Phone (518) 262-0940

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

99 Delaware Ave
Ste 99A
Delmar, NY 12054
Phone (518) 262-0942

1769 Union St
Ste 2
Niskayuna, NY 12309
Phone (518) 382-1151

1769 Union St
Ste 3
Niskayuna, NY 12309
Phone (518) 382-1151

Interoperability endpoints

  • Direct secure messaging: jzaman31013@albanymed.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1770894115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 PRAIRIE WAY BLVD",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535932040",
            "telephone_number": "405-708-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 PRAIRIE WAY BLVD",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535932040",
            "telephone_number": "405-708-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMAN",
        "first_name": "JESSICA",
        "middle_name": "AFROSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "63654-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

Verify at the official NPI Registry.