ZACHARY ALFRED SPORN MD
NPI 1528694460
Student in an Organized Health Care Education/Training Program in Boston, MA
About Zachary Alfred Sporn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACHARY ALFRED SPORN MD (NPI 1528694460) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Alfred Sporn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Sporn's NPI number?
The NPI number for Zachary Sporn is 1528694460. It was assigned to this individual provider in the NPPES registry on March 22, 2020.
Where is Zachary Sporn located?
Zachary Sporn practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 643-8949.
What is Zachary Sporn'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 Sporn enrolled in Medicare?
Yes. Zachary Sporn is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Zachary Sporn was last updated on March 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Zachary Alfred Sporn, MD · NPI 1528694460
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 22, 2020.
## Identity
- **NPI:** 1528694460 (Entity type: Individual)
- **Enumerated:** March 22, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2696
- **Phone:** (617) 643-8949
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1528694460) · Data from the CMS NPPES public registry.