Active NPI
Ewa Janusz-Berezowska, MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1073532289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 216035
- Practice address
- 2195 Third Avenue
Third Horizon Clinic
New York, NY 10035 - Phone
- (212) 348-9095
- Fax
- (212) 876-1559
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 216035 | NY | Primary |
Addresses
Primary practice location
2195 Third Avenue
Third Horizon Clinic
New York, NY 10035
Mailing address
22 Chapel Street
Brooklyn, NY 11201
Phone (718) 260-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02189100 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216035 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242864000000",
"number": "1073532289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CHAPEL STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-260-2900",
"fax_number": "718-522-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 THIRD AVENUE",
"address_2": "THIRD HORIZON CLINIC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10035",
"telephone_number": "212-348-9095",
"fax_number": "212-876-1559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANUSZ-BEREZOWSKA",
"first_name": "EWA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2009-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "216035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02189100",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.