Active NPI
Jakub Pawel Bartnik, D.O.
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 285377
- Practice address
- 150 55TH St
Gme
Brooklyn, NY 11220-2559 - Phone
- (860) 508-7993
- NPI assigned
- Apr 27, 2011
- Last updated
- Jul 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | 285377 | NY | Primary |
Addresses
Primary practice location
150 55TH St
Gme
Brooklyn, NY 11220-2559
Mailing address
4422 3Rd Ave
Emergency Department
Bronx, NY 10457-2545
Phone (718) 960-9000
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
- Emergency Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285377 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| SBH Physicians, PC | Current | Accepting new patients | |
| SBH Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Manhasset, NY 11030
27005 76th Ave
North New Hyde Pk, NY 11040
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368
701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jbartnik19195@sbhny.direct-ci.net
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Pediatrics Physician
- Bronx, NY
- NPI 1457665937
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468627200000",
"number": "1093006835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 3RD AVE",
"address_2": "EMERGENCY DEPARTMENT",
"city": "BRONX",
"state": "NY",
"postal_code": "104572545",
"telephone_number": "718-960-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 55TH ST",
"address_2": "GME",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202559",
"telephone_number": "860-508-7993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTNIK",
"first_name": "JAKUB",
"middle_name": "PAWEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-27",
"last_updated": "2016-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "285377",
"primary": true
}
],
"identifiers": [],
"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 Jul 16, 2016; 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.