Individual provider Active NPI

Tadeusz Strzelecki, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Jericho, NY
National Provider Identifier
1104962372
Registry record updated Dec 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
188331 Issued in NY
Practice address
29 Jericho Tpke Ste a
Jericho, NY 11753-1053
Phone
(516) 280-9822
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MA07881700 NJ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 188331 NY Primary

Addresses

Primary practice location

29 Jericho Tpke Ste a
Jericho, NY 11753-1053

Mailing address

117 Greenway E
New Hyde Park, NY 11040-2245
Phone (516) 746-0399

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110318000501 NY Practitioner - Pathology 0345342846 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden City Colon and Rectal Surgical Practice PCGroup PAC ID 1153451935, 3 clinicians
Icahn School of Medicine at Mount SinaiGroup PAC ID 6709174493, 17 clinicians

Practice addresses (Care Compare)

1075 Franklin Ave
Garden City, NY 11530-2930
Phone (516) 248-7733

200 Old Country Rd
Suite 520
Mineola, NY 11501-4298
Phone (516) 877-0977

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07881700NJMDAnatomic Pathology & Clinical Pathology Physician

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2016 Accepting new patients
Garden City Colon & Rectal Surgical Practice, P.C. CurrentSince Jun 20, 2011 Accepting new patients

Locations

1075 Franklin Ave
Garden City, NY 11530
Phone (516) 248-7733

200 Old Country Rd
Ste 520
Mineola, NY 11501
Phone (516) 877-0977

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386979200000",
    "number": "1104962372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 GREENWAY E",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402245",
            "telephone_number": "516-746-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 JERICHO TPKE STE A",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531053",
            "telephone_number": "516-280-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRZELECKI",
        "first_name": "TADEUSZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "MA07881700",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "188331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

Verify at the official NPI Registry.