Active NPI
Ewa Maria Gawlik, MD
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1083718662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 211100
- Practice address
- 14 McGuinness Blvd S
Brooklyn, NY 11222-4997 - Phone
- (718) 349-0671
- Fax
- (718) 349-9511
- NPI assigned
- Sep 12, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 211100 | NY | Primary |
Addresses
Primary practice location
14 McGuinness Blvd S
Brooklyn, NY 11222-4997
Mailing address
14 McGuinness Blvd S
Brooklyn, NY 11222-4997
Phone (718) 349-0671
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01862899 | Medicaid | NY | |
| 4C5963 | Other | HEALTHNET | |
| 5288708 | Other | AETNA PPO | |
| 3130608 | Other | AETNA HMO | |
| 371457434 | Other | BEECH STREET CORPORATION | |
| G74151 | Other | HEALTHCARE PARTNERS | |
| 1175788 | Other | FIRST HEALTH | |
| 371457434 | Other | 1199 NATIONAL BENEFIT FUN | |
| 55348677 | Other | MULTIPLAN | |
| G74151 | Other | HIP | |
| 37017 | Other | MASTERCARE | |
| BK0087304 | Other | AMERICHOICE | |
| 2697244 | Other | GHI | |
| 371457434 | Other | CHOICE CARE NETWORK | |
| 371457434 | Other | MAGNACARE | |
| 447850 | Other | NEW ENGLAND | |
| 677Z01 | Other | EMPIRE BCBS | |
| 296430201 | Other | HEALTH PLUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211100 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- ewagawlik@mai.allscriptsdirect.net
- https://fhir4.healow.com/fhir/r4/EDHEAA/Endpoint/EDHEAA
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1083718662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MCGUINNESS BLVD S",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112224997",
"telephone_number": "718-349-0671",
"fax_number": "718-349-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MCGUINNESS BLVD S",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112224997",
"telephone_number": "718-349-0671",
"fax_number": "718-349-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWLIK",
"first_name": "EWA",
"middle_name": "MARIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "211100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01862899",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "4C5963",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5288708",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3130608",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET CORPORATION",
"identifier": "371457434",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PARTNERS",
"identifier": "G74151",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1175788",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 NATIONAL BENEFIT FUN",
"identifier": "371457434",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "55348677",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "G74151",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTERCARE",
"identifier": "37017",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "BK0087304",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2697244",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE CARE NETWORK",
"identifier": "371457434",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "371457434",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW ENGLAND",
"identifier": "447850",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "677Z01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "296430201",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.