Individual provider Active NPI

Mark A Majewski, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Schoharie, NY
National Provider Identifier
1154773513
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
23916 Issued in NY
Practice address
113 Park PL
Schoharie, NY 12157-5211
Phone
(518) 295-2031
Fax
(518) 295-8724
NPI assigned
Jul 11, 2016
Sex
Male
Sole proprietor
No

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
23916NYMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23916 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

113 Park PL
Schoharie, NY 12157-5211

Mailing address

113 Park PL
Schoharie, NY 12157-5211
Phone (518) 295-2031

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
00555784 (AGENCY)MedicaidNY
23916OtherNYCASAC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2016.

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1154773513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PARK PL",
            "city": "SCHOHARIE",
            "state": "NY",
            "postal_code": "121575211",
            "telephone_number": "518-295-2031",
            "fax_number": "518-295-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PARK PL",
            "city": "SCHOHARIE",
            "state": "NY",
            "postal_code": "121575211",
            "telephone_number": "518-295-2031",
            "fax_number": "518-295-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJEWSKI",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "23916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00555784 (AGENCY)",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASAC",
            "identifier": "23916",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schoharie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.