Active NPI
Mary Joan Dziadaszek, OTR/L
- Contractor
- Orchard Park, NY
National Provider Identifier
1003071465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 003349-1
- Practice address
- 19 Briggs Dr
Orchard Park, NY 14127-3127 - Phone
- (716) 662-2318
- NPI assigned
- Jul 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 003349-1 | NY | Primary |
Addresses
Primary practice location
19 Briggs Dr
Orchard Park, NY 14127-3127
Mailing address
19 Briggs Dr
Orchard Park, NY 14127-3127
Phone (716) 662-2318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003349-1 | NY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1003071465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRIGGS DR",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141273127",
"telephone_number": "716-662-2318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRIGGS DR",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141273127",
"telephone_number": "716-662-2318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZIADASZEK",
"first_name": "MARY",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-25",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "003349-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.