Active NPI
Arnold Zuckman, DPM
- Foot & Ankle Surgery Podiatrist
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- P00232
- Practice address
- 2566 Main St
Bridgeport, CT 06606-5302 - Phone
- (203) 367-7764
- Fax
- (203) 367-3556
- NPI assigned
- Nov 14, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | P00232 | CT | |
| Radiology Podiatrist | 213ER0200X | P00232 | CT | |
| Sports Medicine Podiatrist | 213ES0000X | P00232 | CT | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | P00232 | CT | Primary |
| Foot Surgery Podiatrist | 213ES0131X | P00232 | CT |
Addresses
Primary practice location
2566 Main St
Bridgeport, CT 06606-5302
Mailing address
2566 Main St
Bridgeport, CT 06606-5302
Phone (203) 367-7764
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 568061 | Other | CT | AETNA |
| 1803438002 | Other | CT | CIGNA |
| ZS616 | Other | CT | OXFORD |
| 030000232CT01 | Other | CT | BLUE SHIELD |
| 060874388 | Other | CT | FEDERAL TAX ID |
| 004006763 | Medicaid | CT | |
| 27-01372 | Other | CT | EVERCARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
226 Mill Hill Ave
Suite 3
Bridgeport, CT 06610-2826
Phone (203) 384-3976
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 169 |
| Removal or shaving of skin growth | 55 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P00232 | CT | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394
500 Monroe Tpke
Monroe, CT 06468
Phone (203) 220-2208
500 Monroe Tpke
#6
Monroe, CT 06468
Phone (203) 261-8666
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
112 Quarry Rd
Ste 420
Trumbull, CT 06611
Phone (203) 374-1700
112 Quarry Rd
Trumbull, CT 06611
Phone (203) 374-1515
Interoperability endpoints
- azuckman9943@direct.ynhh.org
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.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Foot & Ankle Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1790857969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2566 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065302",
"telephone_number": "203-367-7764",
"fax_number": "203-367-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2566 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065302",
"telephone_number": "203-367-7764",
"fax_number": "203-367-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKMAN",
"first_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CT",
"license": "P00232",
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "CT",
"license": "P00232",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "CT",
"license": "P00232",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CT",
"license": "P00232",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CT",
"license": "P00232",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "568061",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1803438002",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ZS616",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "030000232CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "060874388",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004006763",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "27-01372",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.