Active NPI
William J Zucker, MD
- Geriatric Medicine (Internal Medicine) Physician
- Stoneham, MA
National Provider Identifier
1871575480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 55324
- Legal business name
- WILLIAM J ZUCKER, MD
- Practice address
- 3 Woodland Rd
309
Stoneham, MA 02180-1702 - Phone
- (781) 665-0215
- Fax
- (781) 665-0177
- NPI assigned
- Nov 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eileen Wills
- Title
- Billing Manager
- Phone
- (781) 756-7273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 55324 | MA | Primary |
Addresses
Primary practice location
3 Woodland Rd
309
Stoneham, MA 02180-1702
Mailing address
PO Box 760
Winchester, MA 01890-4260
Phone (781) 756-7273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3050939 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1871575480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 760",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018904260",
"telephone_number": "781-756-7273",
"fax_number": "781-756-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WOODLAND RD",
"address_2": "309",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021801702",
"telephone_number": "781-665-0215",
"fax_number": "781-665-0177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM J ZUCKER, MD",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "WILLS",
"authorized_official_first_name": "EILEEN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "781-756-7273"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MA",
"license": "55324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3050939",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.