Peter Haynicz, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD028617L Issued in PA

Practice address

627 Poplar Valley Road West
Stroudsburg, PA 18360-0959

Phone

(570) 992-4967

NPI assigned

Jul 19, 2016

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1083067698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183600959",
            "telephone_number": "570-992-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 POPLAR VALLEY ROAD WEST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183600959",
            "telephone_number": "570-992-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNICZ",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD028617L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Haglund, MS, RDN, LDN
• Alyssa Hagy, CRNP
• Nasir Hameed, MD
• Cheryl Hamilton, M.D.
• Nicole Olivia Hanson, LMFT
• Healingrace Counseling & Wellness PLLC
• Helen Heeren, PH.D.
• Allene Heitzmann, RN
• Jennifer Henry
• Jan Brian Herman, D.C.

• General Practice Physician in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.