ZACHARY BEVILACQUA (NPI# 1003459975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003459975 |
| Entity Type | Individual |
| Full Name | ZACHARY BEVILACQUA |
| Other Name | ZACHARY BEVILACQUA |
| Practice Address |
123 Medallion Cir Rochester NY 14626-3242 |
| Practice Telephone | 5853134608 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 002336 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
123 MEDALLION CIR |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528389244 | Nicolas N Madigan | Neuromusculoskeletal Medicine, Sports Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518479898 | Dr. Salibs Medical Practice PC | Neuromusculoskeletal Medicine, Sports Medicine | 11622 Queens Blvd, Forest Hills, NY 11375-7055 | 2017-10-26 |
| 1316467988 | Ens Medical PC | Neuromusculoskeletal Medicine, Sports Medicine | 205 W 54th St Apt 11a, New York, NY 10019-5535 | 2017-06-23 |
| 1780812818 | Bernard Joseph Zumpano | Neuromusculoskeletal Medicine, Sports Medicine | 5683 Walker Rd, Utica, NY 13502-1249 | 2009-06-26 |
| 1134305311 | Randolph Rosarion | Neuromusculoskeletal Medicine, Sports Medicine | 12010 15th Ave, Rm. 6, College Point, NY 11356-1617 | 2008-01-17 |
| 1316158397 | Stephen Klein | Neuromusculoskeletal Medicine, Sports Medicine | 213-33 39th Ave., Suite 240, Bayside, NY 11361 | 2007-05-24 |
| 1881718617 | Lawrence J. Kagen | Neuromusculoskeletal Medicine, Sports Medicine | 3050 Fairfield Ave, Bronx, NY 10463-3314 | 2007-03-19 |
| 1477691061 | Paul Baxt | Neuromusculoskeletal Medicine, Sports Medicine | 140 Riverside Blvd, Ste 2602, New York, NY 10069-0601 | 2007-02-03 |
| 1972656452 | David M Dines | Neuromusculoskeletal Medicine, Sports Medicine | 935 Northern Blvd Ste 303, Great Neck, NY 11021-5309 | 2007-01-19 |
| 1447302211 | West End Medical PC | Neuromusculoskeletal Medicine, Sports Medicine | 11 W End Ave Ste 1, Brooklyn, NY 11235-4812 | 2007-01-18 |
| 1427108588 | Robert Mayo Israel | Neuromusculoskeletal Medicine, Sports Medicine | 942 Fifth Avenue, Ground Floor, New York, NY 10021 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.