Michael J Pietrusik DPM

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

N0036341 Issued in NY

Legal business name

MICHAEL J PIETRUSIK DPM

Practice address

3277 S Park Ave
Lackawanna, NY 14218-3527

Phone

(716) 822-3411

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Michael Pietrusik

Title

DPM

Phone

(716) 822-3411

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1194901611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 S PARK AVE",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142183527",
            "telephone_number": "716-822-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 S PARK AVE",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142183527",
            "telephone_number": "716-822-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J PIETRUSIK DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "PIETRUSIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "716-822-3411"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N0036341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00845978",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David K Mazgaj, D.M.D.
• Linda A McCartan, LMHC
• Cathy McCool
• Lindsay B Messore, SLP
• Marie Terese Meyer, MA CCC L-SLP
• Diane Miller
• George Miller
• Cindy M Minnich, LCSW
• Florika Evelyn Miranda, R.N.
• Mohsen Mohsen, DPT

• Durable Medical Equipment & Medical Supplies in Lackawanna, NY
• Providers in Lackawanna, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.