DR. JEROME SAUL ZACKS M.D.
NPI 1114904505
Internal Medicine - Cardiovascular Disease in New York, NY

Active since December 27, 2005
1120 PARK AVE, NEW YORK, NY 10128(212) 289-8400(212) 876-6307 Get Directions Write a Review

NPPES record last updated: October 4, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jerome Saul Zacks M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEROME SAUL ZACKS M.D. (NPI 1114904505) is an individual cardiovascular disease provider in New York, New York, licensed in New York (109597) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1114904505
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JEROME SAUL ZACKSCredential: M.D.
Location Address1120 PARK AVENew York, NY 10128-1242
Mailing Address1120 Park AveNew York, NY 10128-1242 · (212) 289-8400 · Fax (212) 876-6307
Fax(212) 876-6307
Sole ProprietorYes
Enumeration DateDecember 27, 2005
Last NPPES UpdateOctober 4, 2010
NPI 1114904505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 109597
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1120 PARK AVE, New York, NY 10128

Other Identifiers 4

Medicare UPINB17189NY
Other133028666Fed. Tax Id Number
Medicare ID-Type Unspecified624301NY
Medicaid00194523NY

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Neuropsychologist
1120 PARK AVE
NEW YORK, NY 10128
Clinical Neuropsychologist
1120 PARK AVE
NEW YORK, NY 10128
Urology
1120 PARK AVE
NEW YORK, NY 10128
Psychiatry & Neurology (Psychiatry)
1120 PARK AVE
NEW YORK, NY 10128
Urology
1120 PARK AVE
NEW YORK, NY 10128
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1120 PARK AVE, SUITE 1-D
NEW YORK, NY 10128
Chiropractor (Sports Physician)
1120 PARK AVE
NEW YORK, NY 10128
Urology
1120 PARK AVE
NEW YORK, NY 10128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Zacks's NPI number?

The NPI number for Jerome Zacks is 1114904505. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Jerome Zacks located?

Jerome Zacks practices at 1120 Park Ave, New York, NY 10128. The listed phone number is (212) 289-8400.

What is Jerome Zacks's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Jerome Zacks was last updated on October 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.