Physician Compare National (NPI:1922060417)

HEALTHCARE PROVIDER: ROY ZAGIEBOYLO M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1922060417
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709900616
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100830000751
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZAGIEBOYLO
	Individual professional last name
Provider First Name	ROY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ASYLUM HILL FAMILY MEDICINE CENTER, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9032016134
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	23
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	893 MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	EAST HARTFORD
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	061082293
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8605282138
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y