Active NPI
Paulina Bajsarowicz, M.D.
- Geriatric Psychiatry Physician
- Binghamton, NY
National Provider Identifier
1003171000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- P83460
- Practice address
- 425 Robinson St
Binghamton, NY 13904-1735 - Phone
- (607) 773-4061
- Fax
- (607) 773-4656
- NPI assigned
- Jul 6, 2012
- 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 |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | P83460 | NY | Primary |
Addresses
Primary practice location
425 Robinson St
Binghamton, NY 13904-1735
Mailing address
1025 Reynolds Rd
Apt L8
Johnson City, NY 13790-1372
Phone (607) 744-7802
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P83460 | NY | MD | Geriatric Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1003171000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 REYNOLDS RD",
"address_2": "APT L8",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137901372",
"telephone_number": "607-744-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 ROBINSON ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139041735",
"telephone_number": "607-773-4061",
"fax_number": "607-773-4656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJSAROWICZ",
"first_name": "PAULINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-06",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NY",
"license": "P83460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.