Matthew J Zadrowski, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

026139 Issued in CT

Practice address

10 Benjamin Dr
Ellington, CT 06029-2127

Phone

(207) 315-0456

NPI assigned

Mar 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Matthew J Zadrowski, MD

  • Surgery Physician
  • Auburn, NY
  • NPI 1972621019
  NPD (past) Authorized official

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1962479113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BENJAMIN DR",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060292127",
            "telephone_number": "207-315-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BENJAMIN DR",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060292127",
            "telephone_number": "207-315-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADROWSKI",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "178321",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "012330",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "026139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434537099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Meadow Counseling, P.C.
• Emily Terese Wheeler
• Pauline Whilby
• Peter Edward White, RPH
• Yams Group LLC
• Zahner Dental, LLC
• Johathan A Zahner, D.M.D.
• Shawn D. Zahner, D.M.D

• Surgery Physician in Ellington, CT
• Providers in Ellington, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.