Active NPI
Mark Robert Jajkowski, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Cheektowaga, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 210052
- Practice address
- 2695 Harlem Rd
Cheektowaga, NY 14225-4021 - Phone
- (716) 332-3505
- Fax
- (716) 332-3509
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 210052 | NY | Primary |
Addresses
Primary practice location
2695 Harlem Rd
Cheektowaga, NY 14225-4021
Mailing address
515 Abbott Rd
Ste 310
Buffalo, NY 14220-1700
Phone (716) 332-3505
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000527369001 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 010549324 | Other | NY | GHI |
| 00026371301 | Other | NY | UNIVERA |
| 040426002783 | Other | NY | FIDELIS |
| 010549324 | Other | NY | EMPIRE UNITED HEALTHCARE |
| 1811716 | Other | NY | INDEPENDENT HEALTH |
| 02414840 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- State University of New York at Buffalo School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966
565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000
825 Wehrle Dr
Williamsville, NY 14221-7717
Phone (716) 634-3243
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Wny PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Kenmore Mercy Hospital | Current | Accepting new patients | |
| Mount St. Mary's Hospital of Niagara Falls | Current | Accepting new patients | |
| Kenmore Mercy Hospital | Current | Accepting new patients | |
| Eastern Great Lakes Pathology PC | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Mount St. Mary's Hospital of Niagara Falls | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Past | Accepting new patients |
Locations
515 Abbott Rd
Buffalo, NY 14220
Phone (716) 827-8220
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
515 Abbott Rd
Ste 101
Buffalo, NY 14220
Phone (716) 821-7714
515 Abbott Rd
Ste 310
Buffalo, NY 14220
Phone (716) 332-3505
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966
3719 Union Rd
Ste 218
Cheektowaga, NY 14225
Phone (716) 206-1503
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800
2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100
825 Wehrle Dr
Williamsville, NY 14221
Phone (716) 634-3243
Interoperability endpoints
- mjajkowski22038@direct.chsbuffalo.org
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1295043149
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- General Acute Care Hospital
- Kenmore, NY
- NPI 1770598104
-
dba Mount St. Mary's Hospital and Health Center
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo, NY
- NPI 1467481564
-
dba Kenmore Mercy Professional Services
- Pulmonary Disease Physician
- Kenmore, NY
- NPI 1659909752
-
dba Mercy Hospital Professional Services
- General Acute Care Hospital
- Buffalo, NY
- NPI 1851929954
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
dba Mount St. Mary's Professional Services
- General Acute Care Hospital
- Lewiston, NY
- NPI 1184252751
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
dba Sisters of Charity Professional Services
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1568090660
-
- Vascular Surgery Physician
- Buffalo, NY
- NPI 1205468055
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
dba Mount St. Mary's Hospital and Health Center
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1073628244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 ABBOTT RD",
"address_2": "STE 310",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142201700",
"telephone_number": "716-332-3505",
"fax_number": "716-332-3509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2695 HARLEM RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142254021",
"telephone_number": "716-332-3505",
"fax_number": "716-332-3509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAJKOWSKI",
"first_name": "MARK",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NY",
"license": "210052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000527369001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "010549324",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026371301",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426002783",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE UNITED HEALTHCARE",
"identifier": "010549324",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1811716",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02414840",
"state": "NY"
}
],
"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 Dec 6, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.