JUSTIN ZACK MD
NPI 1407964695
Radiology - Vascular & Interventional Radiology in Riverhead, NY

Q: What is Justin Zack's NPI number?

The NPI number for Justin Zack is 1407964695. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Q: What is Justin Zack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Justin Zack was last updated on May 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 28, 2006PECOS Enrolled

1333 ROANOKE AVE, RIVERHEAD, NY 11901(631) 727-2755(631) 208-9521 Get Directions Write a Review

NPPES record last updated: May 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Justin Zack Md NPPES

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

JUSTIN ZACK MD (NPI 1407964695) is an individual vascular & interventional radiology provider in Riverhead, New York, licensed in New York (209465) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407964695

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameJUSTIN ZACKCredential: MD

Location Address1333 ROANOKE AVERiverhead, NY 11901

Mailing Address1333 Roanoke AveRiverhead, NY 11901 · (631) 727-2755 · Fax (631) 208-9521

Phone(631) 727-2755

Fax(631) 208-9521

Sole ProprietorNo

Enumeration DateAugust 28, 2006

Last NPPES UpdateMay 16, 2008

✔ NPI 1407964695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in NY · 209465

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

1333 ROANOKE AVE, Riverhead, NY 11901

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Other Identifiers 7

OtherW22111NY · Medicare Group Shr

OtherW11401NY · Bc/bs

Medicare PIN503431NY

Medicaid02206999NY

OtherCF3402NY · Rr Medicare

OtherWEU091NY · Medicare Group Hr

Medicare UPINH42722

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Zack Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.