Active NPI
Justyna I Pogodzinska
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1164513255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 182727-1
- Practice address
- 215 E 95TH St
New York, NY 10128-4077 - Phone
- (212) 996-8000
- Fax
- (212) 423-3127
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 182727-1 | NY | Primary |
Addresses
Primary practice location
215 E 95TH St
New York, NY 10128-4077
Mailing address
215 E 95TH St
New York, NY 10128-4077
Phone (212) 996-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01511999 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000
Hospital & facility affiliations
- Lawton Indian Hospital
- Duncan Regional Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182727-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Park Lenox Medical, PC | Internal Medicine | Past | Accepting new patients |
| CMC Radiological Services PC | Past | Accepting new patients | |
| LHHN Medical, P.C. | Internal Medicine | Past | Accepting new patients |
| CMC Radiological Services PC | Past | Accepting new patients |
Locations
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
Organizations & group practices 7
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.
-
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1093851990
-
- Diagnostic Radiology Physician
- Jamaica, NY
- NPI 1285780502
-
- Internal Medicine Physician
- New York, NY
- NPI 1043386071
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federal Public Health Clinic/Center
- Anadarko, OK
- NPI 1881637403
Hospital
-
- Federal Public Health Clinic/Center
- Carnegie, OK
- NPI 1457459158
Hospital
-
- Federal Public Health Clinic/Center
- Clinton, OK
- NPI 1205923448
Hospital
-
- Rural Acute Care Hospital
- Duncan, OK
- NPI 1851396394
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1760489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164513255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E 95TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284077",
"telephone_number": "212-996-8000",
"fax_number": "212-423-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E 95TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284077",
"telephone_number": "212-996-8000",
"fax_number": "212-423-3127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POGODZINSKA",
"first_name": "JUSTYNA",
"middle_name": "I",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "182727-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01511999",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.