Active NPI
Michael M Zukowsky Mdpa
- General Practice Physician
- Boca Raton, FL
National Provider Identifier
1952561029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME38927
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257546900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.