Active NPI
Gerald Daniel Zahtz, MD
- Otolaryngology Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 134843
- Practice address
- 430 Lakeville Rd
New Hyde Park, NY 11042-1121 - Phone
- (718) 470-7550
- Fax
- (718) 470-4514
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 134843 | NY | Primary |
Addresses
Primary practice location
430 Lakeville Rd
New Hyde Park, NY 11042-1121
Mailing address
430 Lakeville Rd
New Hyde Park, NY 11042-1121
Phone (718) 470-7550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00607736 | Medicaid | NY |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Otolaryngology | Current | Accepting new patients |
| North Shore Long Island Jewish Healthcare | Otolaryngology | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
100 Community Dr
Great Neck, NY 11021
Phone (516) 365-1805
611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000
430 Lakeville Rd
North New Hyde Park, NY 11042
Phone (718) 470-7550
27005 76th Ave
North New Hyde Pk, NY 11040
300 Community Dr
Plandome, NY 11030
391 N Country Rd
Smithtown, NY 11787
Phone (631) 361-2020
972 Brush Hollow Rd
Westbury, NY 11590
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Cardiovascular Disease Physician
- Westbury, NY
- NPI 1215019500
Otolaryngology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1942355060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 LAKEVILLE RD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421121",
"telephone_number": "718-470-7550",
"fax_number": "718-470-4514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 LAKEVILLE RD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421121",
"telephone_number": "718-470-7550",
"fax_number": "718-470-4514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAHTZ",
"first_name": "GERALD",
"middle_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "134843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00607736",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.