Timothy G De Zastro (NPI# 1598723017, PAC ID# 5597715284) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1598723017 |
| PAC ID by PECOS | 5597715284 |
| Professional Enrollment ID | I20050204000225 |
| Full Name | Timothy G De Zastro |
| Organization Legal Name | EASTERN NIAGARA RADIOLOGY AND NUCLEAR MEDICINE ASSOCIATES, PC |
| Address |
521 E Ave Lockport NY 14094-3201 |
| Phone Number | 7165145700 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8527106178 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330163 | EASTERN NIAGARA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 521 E Ave, Lockport, NY 14094-3201 | 7165145700 | EASTERN NIAGARA RADIOLOGY AND NUCLEAR MEDICINE ASSOCIATES, PC |
| 5875 S Transit Rd, Lockport, NY 14094-6340 | 7165145700 | EASTERN NIAGARA RADIOLOGY AND NUCLEAR MEDICINE ASSOCIATES, PC |
| 2600 E Ave, New Fane, NY 14108-1026 | 7165145700 | EASTERN NIAGARA RADIOLOGY AND NUCLEAR MEDICINE ASSOCIATES, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | EASTERN NIAGARA RADIOLOGY AND NUCLEAR MEDICINE ASSOCIATES, PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noyel V Desouza | Diagnostic Radiology | Eastern Niagara Radiology and Nuclear Medicine Associates, PC | 521 E Ave, Lockport, NY 14094-3201 |
| Street Address |
521 E AVE |
| City | LOCKPORT |
| State | NY |
| Zip | 14094-3201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald M Slate Ii | Pathology | Eastern Great Lakes Pathology PC | 521 E Ave, Lockport, NY 14094-3201 |
| Jerome Shitteh | Nurse Practitioner | Eastern Niagara Hospital Inc | 521 E Ave, Lockport, NY 14094-3201 |
| Jaime Rodriguez | Internal Medicine | Eastern Niagara Hospital Inc | 521 E Ave, Lockport, NY 14094-3201 |
| Jasmeet Gill | Internal Medicine | Amandeep Pal Md Pllc | 521 E Ave, Eastern Niagara Hospital, Lockport, NY 14094-9497 |
| Baljinder Singh | Neurology | 521 E Ave, Lockport, NY 14094-3201 | |
| Abrar Siddiqui | Family Medicine | Eastern Niagara Hospital Inc | 521 E Ave, Lockport, NY 14094-3201 |
| Samantha Wendling | Physician Assistant | Amandeep Pal Md Pllc | 521 E Ave, Eastern Niagara Hospital, Lockport, NY 14094-9497 |
| David O Scamurra | Pathology | Eastern Great Lakes Pathology PC | 521 E Ave, Lockport, NY 14094-3201 |
| Mian Abdul A Majeed | General Practice | Eastern Niagara Hospital Inc | 521 E Ave, Lockport, NY 14094-3201 |
| Oscar S Lopez | Psychiatry | Eastern Niagara Hospital Inc | 521 E Ave, Lockport, NY 14094-3201 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Deeks | Clinical Social Worker | Niagara County Treasurers Office | 5467 Upper Mt Rd, Suite 200, Lockport, NY 14094 |
| Gillian M Henry-game | Clinical Social Worker | Niagara County Treasurers Office | 5467 Upper Mt Rd, Lockport, NY 14094 |
| Bryn A Lyon | Clinical Social Worker | Niagara County Treasurers Office | 5467 Upper Mt Rd, Suite 200, Lockport, NY 14094 |
| Justin P Walck | Clinical Social Worker | Niagara County Treasurers Office | 5467 Upper Mt Rd, Suite 200, Lockport, NY 14094-1854 |
| Amandeep Pal | Family Medicine | Amandeep Pal Md Pllc | 5465 Upper Mountain Rd, Lockport, NY 14094-1854 |
| Paige E Glynn | Clinical Social Worker | Niagara County Treasurers Office | 5467 Upper Mt Rd, Suite 200, Lockport, NY 14094-1854 |
| Hany R Shehata | Psychiatry | Niagara County Treasurers Office | 5467 Upper Mt Rd, Suite 200, Lockport, NY 14094-1854 |
| Daniel J Willis | Psychiatry | Niagara County Treasurers Office | 5467 Upper Mt Rd, Suite 200, Lockport, NY 14094-1854 |
| Michele N Sneed | Nurse Practitioner | Niagara County Treasurers Office | 5467 Upper Mt Rd, Suite 200, Lockport, NY 14094-1854 |
| Carol A Winkler | Nurse Practitioner | Niagara County Treasurers Office | 5467 Upper Mt Rd, Suite 200, Lockport, NY 14094-1854 |
| Find all physicians in zip 14094 | |||
| City | LOCKPORT |
| Zip Code | 14094 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LOCKPORT + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Timothy G De Zastro.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.