JENNIFER CARBONE ZUCCARO (NPI# 1700083565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700083565 |
| Entity Type | Individual |
| Full Name | JENNIFER CARBONE ZUCCARO |
| Credential | MD |
| Practice Address |
750 E Adams St Syracuse NY 13210-2306 |
| Practice Telephone | 3154645450 |
| Practice Fax Number | 3154646322 |
| Mailing Telephone | 3154645450 |
| Mailing Fax Number | 3154646322 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2012-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
243735 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02896808 | 05 |
| Street Address |
750 E ADAMS ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003193 | Aqeel A Sandhu | Specialist | 750 E Adams St, Syracuse, NY 13210-2306 | 2005-06-15 |
| 1770183972 | Subhashree Dasgupta | Speech-Language Pathologist | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-27 |
| 1841890118 | Danielle Coniglio Gonzalez | Physical Medicine & Rehabilitation | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-27 |
| 1497353858 | Kayleigh M Gifford | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-16 |
| 1578160891 | Steven Lounsbury | Physical Therapist | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-09 |
| 1306453295 | Sarah Persons | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-09-25 |
| 1356956270 | Carlo Manalo Dangcalan | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-09 |
| 1104430396 | Rida Sherwani | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-03 |
| 1003420803 | Michel Tawil | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-08-31 |
| 1669085056 | Komal Syeda | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
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| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477971497 | Kimberly Rush | Pediatrics | 750 East Adams St, Syracuse, NY 13210 | 2014-04-07 |
| 1881828598 | Robert Eliot Newmyer | Pediatrics | 750 East Adams St, Pediatric Care Unit, Syracuse, NY 13210 | 2009-05-08 |
| 1306927280 | Angela T Wratney | Pediatrics | 750 East Adams St, Syracuse, NY 13210-2306 | 2006-10-18 |
| 1235243916 | Neal Andrew Seidberg | Pediatrics | 750 E Adams St, Syracuse, NY 13210 | 2006-08-18 |
| 1265450498 | William Paul Hannan | Pediatrics | 750 E Adams St, Syracuse, NY 13210-2342 | 2006-07-17 |
| 1487686457 | Kevin G Ragosta | Pediatrics | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-07-07 |
| 1710930458 | Ramesh C Sachdeva | Pediatrics | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235631250 | Adi Avniel Aran | Pediatrics | 2600 Netherland Ave Apt 1720, Bronx, NY 10463-4838 | 2018-03-06 |
| 1518200203 | Kelly Haque | Pediatrics | 525 E 68th St # M-508, New York, NY 10065-4870 | 2013-04-01 |
| 1053654822 | Ami J Shah | Pediatrics | 424 E 34th St Fl Street9, New York, NY 10016-4901 | 2013-03-31 |
| 1841538295 | Binayak Sigdel | Pediatrics | 3242 Suson Ct, Apartment 2, St Louis, NY 10451-5504 | 2013-01-18 |
| 1063775955 | Marguerite Orsi Canter | Pediatrics | 1705 1st Ave, Apt 4fn, New York, NY 10128-4905 | 2012-06-17 |
| 1255629887 | Emily Wasserman | Pediatrics | 525 E 68th St # 6-south, New York, NY 10065-4870 | 2011-07-17 |
| 1295025310 | Grace Lee Ker | Pediatrics | 101 Nicolls Rd # Level11n, Stony Brook, NY 11794-0001 | 2011-04-11 |
| 1265741276 | Kalgi Mody | Pediatrics | 23 Richlee Ct, Apt 3s, Mineola, NY 11501-3647 | 2010-09-26 |
| 1093031478 | Erin Whitney Hulfish | Pediatrics | Hsc Level 11, Room 020, Stony Brook, NY 11794-0001 | 2010-04-11 |
| 1689996514 | Mary Kathleen Moynihan Hardart | Pediatrics | 4 Locust Ln, Bronxville, NY 10708-4916 | 2010-02-19 |
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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.