Individual provider Active NPI

Robert W Zembroski, DC, DACNB

  • Neurology Chiropractor
  • Darien, CT
National Provider Identifier
1780743799
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
1043 Issued in CT
Practice address
870 Post Rd
Darien, CT 06820-4613
Phone
(203) 655-4494
Fax
(203) 655-7577
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 1043 CT Primary

Addresses

Primary practice location

870 Post Rd
Darien, CT 06820-4613

Mailing address

870 Post Rd
Darien, CT 06820-4613
Phone (203) 655-4494

Other identifiers 5

IdentifierTypeStateIssuer
P2011910OtherCTOXFORD PROVIDER NUMBER
050001043CT01OtherCTBLUE CROSS PROVIDER NO.
X0E442OtherCTEMPIRE BLUE CROSS BLUE SHIELD
0007798133OtherCTAETNA PROVIDER NUMBER
757285OtherCTCONNECTICARE PROVIDER NO.

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
1043CTMDClinical Psychologist
001043CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1780743799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 POST RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204613",
            "telephone_number": "203-655-4494",
            "fax_number": "203-655-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 POST RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204613",
            "telephone_number": "203-655-4494",
            "fax_number": "203-655-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMBROSKI",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC, DACNB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CT",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER NUMBER",
            "identifier": "P2011910",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO.",
            "identifier": "050001043CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "X0E442",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "0007798133",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE PROVIDER NO.",
            "identifier": "757285",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.