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

Michael M Ziegelbaum, MD

Individual provider Urology Physician · NPI 1174520621

Michael M Ziegelbaum, MD is an Urology in Lake Success, New York. Qualified in 1982, 44 years ago. Practices with Innovis Health LLC, a 573-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota and New York.

Years since qualifying
44
Licensed in
ND, NY
In the registry since
2005
Specialties on file
2
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

2001 Marcus Ave Ste N-214
Lake Success, NY 11042-1011
Phone: (516) 437-4228
Fax: (516) 355-0637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3000 32nd Ave S, Fargo, ND 58103-6132 — (701) 364-8000

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 173612 (NY)
Urology Physician Taxonomy 208800000X · Licence 23062 (ND)

Record details

NPI number1174520621
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2005
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address2001 Marcus Ave, Suite N-214, Lake Success, NY 11042-1011

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Success