Individual provider Active NPI

David Slawaska-Eng, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Watertown, NY
National Provider Identifier
1104655331
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
340014 Issued in NY
Practice address
22567 Summit Dr BLDG 2
Watertown, NY 13601-7210
Phone
(315) 779-6784
NPI assigned
Jul 27, 2024
Reactivated
Aug 27, 2025
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 340014 NY
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 340014 NY Primary

Addresses

Primary practice location

22567 Summit Dr BLDG 2
Watertown, NY 13601-7210

Mailing address

27454 County Route 57
Three Mile Bay, NY 13693
Phone (514) 887-7227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015000865 CA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 7618464488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
340014NYMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1104655331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27454 COUNTY ROUTE 57",
            "city": "THREE MILE BAY",
            "state": "NY",
            "postal_code": "13693",
            "telephone_number": "514-887-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22567 SUMMIT DR BLDG 2",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136017210",
            "telephone_number": "315-779-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAWASKA-ENG",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-27",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-11",
        "deactivation_date": "2025-05-13",
        "reactivation_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "340014",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "340014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.