Individual provider Active NPI

Robert Maller Ziegelbaum, PT

  • Physical Therapist
  • Syosset, NY
National Provider Identifier
1811231608
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0351281 Issued in NY
Practice address
75 Meadowbrook Rd
Syosset, NY 11791-2117
Phone
(516) 732-0063
NPI assigned
Nov 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0351281 NY Primary

Addresses

Primary practice location

75 Meadowbrook Rd
Syosset, NY 11791-2117

Mailing address

75 Meadowbrook Rd
Syosset, NY 11791-2117
Phone (516) 732-0063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170206001499 NY Practitioner - Physical Therapist in Private Practice 8123301736 Reassigns benefits to 2 organizations
Practice locations: Syosset, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ZR Ziegelbaum RPTGroup PAC ID 4385087550, 3 clinicians

Practice addresses (Care Compare)

26 Manorhaven Blvd
Port Washington, NY 11050-1608
Phone (516) 944-8798

Merit-based Incentive Payment System (MIPS)

Final score
86.58 of 100Reported as individual
Quality
90
Improvement activities
40
Cost
68.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0351281NYMDPhysical Therapist
035128NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
ZR Ziegelbaum RPT Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients

Locations

26 Manorhaven Blvd
Prt Washingtn, NY 11050
Phone (516) 944-8798

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1811231608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MEADOWBROOK RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912117",
            "telephone_number": "516-732-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MEADOWBROOK RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912117",
            "telephone_number": "516-732-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGELBAUM",
        "first_name": "ROBERT",
        "middle_name": "MALLER",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-16",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0351281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.