Individual provider Active NPI

Lidia Zacharski, NP

  • Family Nurse Practitioner
  • Glen Cove, NY
National Provider Identifier
1871779330
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336337 Issued in NY
Practice address
128 Glen St
Glen Cove, NY 11542-2737
Phone
(516) 802-5562
NPI assigned
Jan 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 003578 NY
Family Nurse Practitioner 363LF0000X 336337 NY Primary

Addresses

Primary practice location

128 Glen St
Glen Cove, NY 11542-2737

Mailing address

15 Lotus LN
Westbury, NY 11590-6320
Phone (516) 244-6930

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000088 NY Practitioner - Nurse Practitioner 7113169137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

823 Carman Ave
Westbury, NY 11590-6429
Phone (516) 280-7244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
003578NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lidia Zacharski Nurse Practitioner in Family Health PC Family CurrentSince Oct 1, 2012 Accepting new patients

Locations

823 Carman Ave
Westbury, NY 11590
Phone (516) 280-7244

Interoperability endpoints

  • Direct secure messaging: lidia.zacharski.1@5787.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1871779330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LOTUS LN",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906320",
            "telephone_number": "516-244-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 GLEN ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422737",
            "telephone_number": "516-802-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARSKI",
        "first_name": "LIDIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003578",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.