Active NPI
Andzelika Dechnik
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- New York, NY
National Provider Identifier
1104452101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- 321447
- Practice address
- 622 W 168TH St # VC2-260
New York, NY 10032-3720 - Phone
- (617) 355-8241
- NPI assigned
- Mar 21, 2020
- 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 |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 321447 | NY | Primary |
Addresses
Primary practice location
622 W 168TH St # VC2-260
New York, NY 10032-3720
Mailing address
622 W 168TH St # VC2-260
New York, NY 10032-3720
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
- Pediatric Medicine
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 Hicksville Rd
Bethpage, NY 11714-3471
700 Hicksville Rd
Suite 205
Bethpage, NY 11714-3472
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1104452101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W 168TH ST # VC2-260",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168TH ST # VC2-260",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "617-355-8241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECHNIK",
"first_name": "ANDZELIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-21",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "NY",
"license": "321447",
"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 Jul 15, 2026; 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.