ELAINE H ZACKAI M.D. NPI 1811904881

NPI Information

NPI: 1811904881
Provider Name: ELAINE H ZACKAI, M.D.
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

Organization: CHILDRENS HEALTH CARE ASSOCIATES INC

PECOS Registration: Yes

Address:
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - GENETICS
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-2920
Get Directions

Elaine H Zackai, M.D. is a clinical genetics (m.d.) medical genetics in Philadelphia, PA with 56 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. Elaine H Zackai, M.D. NPI is 1811904881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1968

The provider's business location address is:

3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - GENETICS
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-2920
Fax: (215) 590-3298

The NPI 1811904881 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 10/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207SC0300X	Medical Genetics	Clinical Cytogenetics	MD014103E	PENNSYLVANIA	No
2	207SC0300X	Medical Genetics	Clinical Cytogenetics	25MA07256800	NEW JERSEY	No
3	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	MD014103E	PENNSYLVANIA	Yes
4	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	25MA07256800	NEW JERSEY	No
5	208000000X	Pediatrics		MD014103E	PENNSYLVANIA	No
6	208000000X	Pediatrics		25MA07256800	NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C32776	MEDICARE UPIN
2	173579	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
3	0328600	MEDICAID	NEW JERSEY
4	000665287	MEDICAID	PENNSYLVANIA
5	055839N44	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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