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ZACHARY ALLEN BORDEAUX
NPI 1225731912
Student in an Organized Health Care Education/Training Program in Manhasset, NY

Active since March 23, 2023PECOS Enrolled
300 COMMUNITY DR STE 4DSU, MANHASSET, NY 11030(646) 427-8563 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Zachary Allen Bordeaux NPPES

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

ZACHARY ALLEN BORDEAUX (NPI 1225731912) is an individual student in an organized health care education/training program in Manhasset, New York and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225731912
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameZACHARY ALLEN BORDEAUX
Location Address300 COMMUNITY DR STE 4DSUManhasset, NY 11030-3816
Mailing Address300 Community Dr Ste 4dsuManhasset, NY 11030-3816 · (646) 427-8563
Phone(646) 427-8563
Sole ProprietorNo
Enumeration DateMarch 23, 2023
NPPES CertifiedMarch 23, 2023
✔ NPI 1225731912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 COMMUNITY DR STE 4DSU, Manhasset, NY 11030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Allen Bordeaux is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ALAN MALLOUHI MD
Student in an Organized Health Care Education/Training Program
300 COMMUNITY DR STE 4DSU
MANHASSET, NY 11030
Nassau County (516) 562-0100
NADIM AMMARI
Student in an Organized Health Care Education/Training Program
300 COMMUNITY DR STE 4DSU
MANHASSET, NY 11030
Nassau County (516) 562-0100
AMAURI GOMEZ
Student in an Organized Health Care Education/Training Program
300 COMMUNITY DR STE 4DSU
MANHASSET, NY 11030
Nassau County (516) 562-4764
ANTHONY JAMES PAPALE MD
Student in an Organized Health Care Education/Training Program
300 COMMUNITY DR STE 4DSU
MANHASSET, NY 11030
Nassau County (516) 562-0100
SARAH ROMANELLI MD
Student in an Organized Health Care Education/Training Program
300 COMMUNITY DR STE 4DSU
MANHASSET, NY 11030
Nassau County (516) 710-8942
AMANPREET KAUR
Student in an Organized Health Care Education/Training Program
300 COMMUNITY DR STE 4DSU
MANHASSET, NY 11030
Nassau County (516) 562-4764
ALLAN LIN
Internal Medicine
300 COMMUNITY DR STE 4DSU
MANHASSET, NY 11030
Nassau County (516) 562-0100
AKSHA PARRAY MD
Student in an Organized Health Care Education/Training Program
300 COMMUNITY DR STE 4DSU
MANHASSET, NY 11030
Nassau County (516) 562-2912

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 Zachary Bordeaux's NPI number?

The NPI number for Zachary Bordeaux is 1225731912. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Zachary Bordeaux located?

Zachary Bordeaux practices at 300 Community Dr Ste 4dsu, Manhasset, NY 11030. The listed phone number is (646) 427-8563.

What is Zachary Bordeaux's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Zachary Bordeaux enrolled in Medicare?

Yes. Zachary Bordeaux is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zachary Bordeaux was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.