Nicholas Zacharczenko, D.D.S., M.S.D., R.PH

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

040175 Issued in NY

Practice address

28 Clinton St
Saratoga Springs, NY 12866-2143

Phone

(518) 691-0015

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821000969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WAYTO RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120192305",
            "telephone_number": "518-399-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CLINTON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662143",
            "telephone_number": "518-691-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARCZENKO",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D., R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "040175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally A Yellin, LMSW
• Susan Elizabeth Yerry, RPH
• Rodney Lloyd Ying, M.D.
• Helen Young, LCSW
• Jaime Lynne Youngs-Hamelin I, LCSW
• Reetee Zappi, LMSW
• Dina Zaqqa, M.D.
• Aaron Zell, DO
• Stacey Zon, FNP-C
• Lara Michele Zwijacz, PA-C

• Prosthodontics in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.