Active NPI
Dennis James Kwiecinski
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 200 Central Park S Apt 107
New York, NY 10019-1449 - Phone
- (800) 545-7546
- NPI assigned
- Aug 25, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
200 Central Park S Apt 107
New York, NY 10019-1449
Mailing address
200 Central Park S Apt 107
New York, NY 10019-1449
Phone (800) 545-7546
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2050 Saw Mill River Rd
Suite 3
Yorktown Heights, NY 10598-4144
Phone (914) 736-1805
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology of New York, PC | Current | Accepting new patients | |
| Cindy Hoffman DO PC | Current | Accepting new patients | |
| David S Cho, MD, PLLC | Past | Accepting new patients | |
| Howard D. Solomon, DO, PC | Past | Accepting new patients |
Locations
291 E 149th St
Bronx, NY 10451
Phone (718) 742-1000
686 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 279-1111
4 Crumwold Pl
Hyde Park, NY 12538
Phone (845) 229-2123
6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160
200 Central Park S
Apt 107
New York, NY 10019
Phone (212) 262-2500
2050 Saw Mill River Rd
Ste 3
Yorktown Heights, NY 10598
Phone (914) 617-8500
2050 Saw Mill River Rd
Yorktown Heights, NY 10598
Phone (914) 245-7888
Organizations & group practices 6
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.
-
- Dermatology Physician
- Yorktown Heights, NY
- NPI 1841284528
-
- Dermatology Physician
- New York, NY
- NPI 1083610521
-
- Dermatology Physician
- New Hyde Park, NY
- NPI 1134201460
-
- Specialist
- Bronx, NY
- NPI 1598195695
-
- Internal Medicine Physician
- Hyde Park, NY
- NPI 1083659627
-
- Procedural Dermatology Physician
- Forest Hills, NY
- NPI 1598054520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1104439710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CENTRAL PARK S APT 107",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191449",
"telephone_number": "800-545-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CENTRAL PARK S APT 107",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191449",
"telephone_number": "800-545-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWIECINSKI",
"first_name": "DENNIS",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-25",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.
- 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.