Organization Active NPI

Michael M Zukowsky Mdpa

  • General Practice Physician
  • Boca Raton, FL
National Provider Identifier
1952561029
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME38927 Issued in FL
Legal business name
MICHAEL M ZUKOWSKY MDPA
Practice address
801 Meadows Rd
Suite 120
Boca Raton, FL 33486-2346
Phone
(561) 397-4107
Fax
(561) 393-7130
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Dr. Michael M Zukowsky, MD
Title
President
Phone
(561) 372-4107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME38927 FL Primary

Addresses

Primary practice location

801 Meadows Rd
Suite 120
Boca Raton, FL 33486-2346

Mailing address

801 Meadows Rd
Suite 120
Boca Raton, FL 33486-2346
Phone (561) 397-4107

Other identifiers 1

IdentifierTypeStateIssuer
257546900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1952561029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD",
            "address_2": "SUITE 120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-397-4107",
            "fax_number": "561-393-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD",
            "address_2": "SUITE 120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-397-4107",
            "fax_number": "561-393-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M ZUKOWSKY MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "ZUKOWSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-372-4107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME38927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257546900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.