Individual provider Active NPI

Malwina Anna Olendrowicz, NP

  • Gastroenterology Physician
  • Yonkers, NY
National Provider Identifier
1013693670
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F356091 Issued in NY
Practice address
967 N Broadway
Yonkers, NY 10701-1301
Phone
(914) 964-4444
NPI assigned
Jun 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X F356091 NY Primary
Critical Care Medicine Registered Nurse 163WC0200X 7646591 NY

Addresses

Primary practice location

967 N Broadway
Yonkers, NY 10701-1301

Mailing address

3 Arlington St Apt 1B
Yonkers, NY 10710-6139
Phone (914) 282-6484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716003827 NY Practitioner - Nurse Practitioner 1153836234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercy College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJR Medical, PCGroup PAC ID 5991608440, 43 clinicians

Practice addresses (Care Compare)

967 N Broadway
Yonkers, NY 10701-1301
Phone (914) 964-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7646591NYMDCritical Care Medicine Registered Nurse
F356091NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SJR Medical, PC Single Specialty CurrentSince May 15, 2025 Accepting new patients

Locations

1019 Yonkers Ave
Yonkers, NY 10704
Phone (612) 644-9447

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

Interoperability endpoints

  • Direct secure messaging: malwina@stjohnsmedicalpc.directmedgenehr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1013693670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ARLINGTON ST APT 1B",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107106139",
            "telephone_number": "914-282-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-964-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENDROWICZ",
        "first_name": "MALWINA",
        "middle_name": "ANNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "F356091",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "7646591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.