Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Zachary D Vredenburgh, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134560469

Dr. Zachary D Vredenburgh, MD is an Orthopedic Surgery in East Syracuse, New York. Qualified in 2013, 13 years ago. Practices with Upstate Orthopedics, LLP, a 34-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6620 Fly Rd Ste 200
East Syracuse, NY 13057-4282
Phone: (315) 464-4472
Fax: (315) 464-5229
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 300286 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 300286 (NY)

Record details

NPI number1134560469
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 15, 2013
Last updated in NPPESDecember 10, 2019
Certification dateDecember 10, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Upstate Orthopedics, Llp — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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