Robert S Szymczak, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

035850 Issued in NY

Practice address

116 Co Hwy 155
Broadalbin, NY 12025

Phone

(518) 883-5858

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154477602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "address_2": "116 CO HWY 155",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "12025",
            "telephone_number": "518-883-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CO HWY 155",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "12025",
            "telephone_number": "518-883-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMCZAK",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "035850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Eve Miller, COTA
• Lori Nellis, RN
• Donna M. Panzl, L.M.T.
• Jessica Lynn Sargalis, MPT
• Arissa Marilyn Spitalny, LMSW
• Thomas Venditti, RPA-C
• Kathleen Verbicky, D.O.
• Patricia Diane Wojcicki

• All providers in Broadalbin, NY
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.