NPIMap

Individual provider Active NPI

Ivan Joseph Zapolsky, M.D., M.S.

  • Orthopaedic Surgery of the Spine Physician
  • East Setauket, NY
National Provider Identifier
1982136016
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
316752 Issued in NY
Practice address
14 Technology Dr Ste 12
East Setauket, NY 11733-3469
Phone
(631) 444-4233
Fax
(631) 444-4217
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 316752 NY
Orthopaedic Surgery of the Spine Physician 207XS0117X 316752 NY Primary

Addresses

Primary practice location

14 Technology Dr Ste 12
East Setauket, NY 11733-3469

Mailing address

14 Technology Dr Ste 12
East Setauket, NY 11733-3469
Phone (631) 444-4233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220421002071 NY Practitioner - Orthopedic Surgery 3476940404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 Technology Dr
Suite 11
East Setauket, NY 11733-3464
Phone (631) 444-4233

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion165
Laminectomy or laminotomy (partial removal of spine bones)58
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
316752NYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Orthopaedic Surgery CurrentSince Jun 1, 2022 Accepting new patients
Stony Brook Orthopaedic Associates, University Faculty Practice Corpor Orthopaedic Surgery CurrentSince Aug 28, 2023 Accepting new patients
Neurology Associates of Stony Brook, University Faculty Practice Corpo PastSince Jun 11, 2023 Accepting new patients
University Hospital at Stony Brook Past Accepting new patients
University Associates in Obstetrics & Gynecology, University Faculty P Past Accepting new patients
Stony Brook Surgical Associates, University Faculty Practice Corporati Past Accepting new patients

Locations

14 Technology Dr
Ste 11
East Setauket, NY 11733
Phone (631) 444-1496

14 Technology Dr
Ste 12
East Setauket, NY 11733
Phone (631) 444-7979

4 Smith Haven Mall
Ste 103
Lake Grove, NY 11755

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

74 Commerce Ave
Ste 4
Riverhead, NY 11901
Phone (631) 638-1670

14 Technology Dr
Setauket, NY 11733
Phone (516) 444-1357

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1982136016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TECHNOLOGY DR STE 12",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333469",
            "telephone_number": "631-444-4233",
            "fax_number": "631-444-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TECHNOLOGY DR STE 12",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333469",
            "telephone_number": "631-444-4233",
            "fax_number": "631-444-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPOLSKY",
        "first_name": "IVAN",
        "middle_name": "JOSEPH",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "316752",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "316752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.