Mary Sue J Sylwestrzak, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301053077 Issued in MI

Practice address

33200 W 14 Mile Rd
Ste 130
West Bloomfield, MI 48322-3549

Phone

(248) 855-4144

Fax

(248) 855-9158

NPI assigned

Nov 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Mary Sue Jenkins Sylwestrzak Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marysuesylwestrzak@southfield.allscriptsdirect.net

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.

• Robert R Roman MD PC

  • Pediatrics Physician
  • West Bloomfield, MI
  • NPI 1417037714
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1124001177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "STE 130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223549",
            "telephone_number": "248-855-4144",
            "fax_number": "248-855-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "STE 130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223549",
            "telephone_number": "248-855-4144",
            "fax_number": "248-855-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLWESTRZAK",
        "first_name": "MARY SUE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301053077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2886572",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF MI",
            "identifier": "3506337132",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP INSURANCE PLAN",
            "identifier": "F28229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY SUE",
            "last_name": "SYLWESTRZAK",
            "middle_name": "JENKINS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hamzah Syed, DDS
• Suzan Mokhayesh Syed, MD
• Christopher Sykes
• Rebecca Raye Sylvain, PHARMD
• Sylvia Hanson MD PLLC
• Ciandra Syms
• Synergy Health, PC
• Jane K Syriac, MD
• Julia R Szymanski, MOT, OTRL
• T Reid Kavieff DO PC

• Pediatrics Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.