Jacek Jarczynski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

063376-01 Issued in NY

Practice address

466 Main St
New Rochelle, NY 10801-6431

Phone

(914) 633-5050

NPI assigned

May 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1043957541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 SHORE FRONT PKWY APT 1L",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921203",
            "telephone_number": "347-421-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016431",
            "telephone_number": "914-633-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARCZYNSKI",
        "first_name": "JACEK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063376-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M James, MHC INTERN
• Neveta Yulanda James, FNP
• Paul James
• Jamie Sturm LCSW PLLC
• Janelle Maria Jansson, M.S., CCC-SLP
• Piyasiri Jasinghepatirane, M.S.
• Jay Lippman, M.D., P.C.
• JC & M Inc.
• Leila Jean-Baptiste, M.D.
• Amandayvette Jean-Charles

• General Practice Dentistry in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.