Individual provider Active NPI

Robin Gwiazdowski, DVM

  • Veterinarian
  • Rockaway, NJ
National Provider Identifier
1144544180
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
29VI0050700 Issued in NJ
Practice address
328 Route 46
Rockaway, NJ 07866-3836
Phone
(973) 627-0789
NPI assigned
Mar 19, 2010
Last updated
Sep 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 29VI0050700 NJ Primary

Addresses

Primary practice location

328 Route 46
Rockaway, NJ 07866-3836

Mailing address

328 Route 46
Rockaway, NJ 07866-3836
Phone (973) 627-0789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29VI0050700NJMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Rockaway Animal Clinic Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1144544180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 ROUTE 46",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663836",
            "telephone_number": "973-627-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 ROUTE 46",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663836",
            "telephone_number": "973-627-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWIAZDOWSKI",
        "first_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NJ",
            "license": "29VI0050700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.