Individual provider Active NPI

Tomasz Staniszewski

  • Family Nurse Practitioner
  • Warminster, PA
National Provider Identifier
1073875324
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011169 Issued in PA
Practice address
374 Grant Ave
Warminster, PA 18974-5306
Phone
(215) 634-3303
NPI assigned
Jun 12, 2012
Last updated
May 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP011169 PA Primary

Addresses

Primary practice location

374 Grant Ave
Warminster, PA 18974-5306

Mailing address

374 Grant Ave
Warminster, PA 18974-5306
Phone (215) 634-3303

Other practice location 1

1205 Langhorne Newtown Rd Ste 108
Langhorne, PA 19047-1220
Phone (215) 710-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120907000593 PA Practitioner - Nurse Practitioner 0749438216 Reassigns benefits to 1 organization
Practice locations: Warminster, PA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

1205 Langhorne Newtown Rd
Langhorne, PA 19047-1219

1205 Langhorne Newtownrd
Suite 411
Langhorne, PA 19047-1219
Phone (267) 500-5027

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP011169PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 3, 2016 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 3, 2016 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients

Locations

1205 Langhorne Newtown Rd
Ste 108
Langhorne, PA 19047
Phone (215) 710-2444

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

Interoperability endpoints

  • Direct secure messaging: tstaniszewski2019755@direct.trinity-health.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1073875324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 GRANT AVE",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189745306",
            "telephone_number": "215-634-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 GRANT AVE",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189745306",
            "telephone_number": "215-634-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Langhorne Newtown Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471220",
            "country_code": "US",
            "telephone_number": "215-710-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANISZEWSKI",
        "first_name": "TOMASZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

Verify at the official NPI Registry.