Individual provider Active NPI

Richard Frank Michalczak

  • Specialist
  • Cheektowaga, NY
National Provider Identifier
1003164591
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
777 Maryvale Dr
Cheektowaga, NY 14225-2712
Phone
(716) 631-9515
NPI assigned
Aug 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

777 Maryvale Dr
Cheektowaga, NY 14225-2712

Mailing address

777 Maryvale Dr
Cheektowaga, NY 14225-2712
Phone (716) 631-9515

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1003164591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 MARYVALE DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252712",
            "telephone_number": "716-631-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 MARYVALE DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252712",
            "telephone_number": "716-631-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALCZAK",
        "first_name": "RICHARD",
        "middle_name": "FRANK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.