Organization Active NPI

William J Zucker, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Stoneham, MA
National Provider Identifier
1871575480
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
55324 Issued in MA
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

Updated by the provider on Mar 20, 2008

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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3050939MedicaidMA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.