Active NPI
Markian Yuriy Pazuniak, M.D
- Psychiatry Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA12301900
- Practice address
- 3 Cooper PLZ RM 307
Camden, NJ 08103-1438 - Phone
- (856) 342-2328
- NPI assigned
- Jun 22, 2015
- Last updated
- Sep 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT209825 | PA | |
| Psychiatry Physician | 2084P0800X | 25MA12301900 | NJ | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | D84924 | MD |
Addresses
Primary practice location
3 Cooper PLZ RM 307
Camden, NJ 08103-1438
Mailing address
1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935
Other practice location 1
4755 Ogletown Stanton Rd Ste 116
Newark, DE 19718-2200
Phone (302) 733-4700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1-0013669 | Other | DE | MEDICAL LICENSE |
| D84924 | Other | MD | MARYLAND BOARD OF MEDICINE |
| MT209825 | Other | PA | PENNSYLVANIA BOARD OF MEDICINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DE, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12301900 | NJ | MD | Psychiatry Physician |
| MT209825 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Psychiatry | Current | Accepting new patients |
| Union Hospital of Cecil County | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Union Hospital of Cecil County | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| CMC Psychiatric Associates, PC | Psychiatry | Current | Accepting new patients |
| CMC Department of Medicine | Past | Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Ste 116
Newark, DE 19718
Phone (302) 733-4700
100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
501 W 14th St
Ste 1E40
Wilmington, DE 19801
Phone (302) 320-2100
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
111 W High St
Ste 204
Elkton, MD 21921
Phone (410) 392-3007
210 Chesapeake Blvd
Elkton, MD 21921
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770
3 Cooper Plz
Rm 307
Camden, NJ 08103
Phone (856) 757-7799
400 Chambers Ave
Camden, NJ 08103
Phone (856) 365-1811
808 Market St
Ste 2
Camden, NJ 08102
Phone (856) 272-3600
Interoperability endpoints
- mpazuniak187510@direct.cooperhealth.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Camden, NJ
- NPI 1982646634
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1124067848
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba CCHS Psychiatry
- Psychiatry Physician
- Wilmington, DE
- NPI 1083699433
-
- Internal Medicine Physician
- Camden, NJ
- NPI 1497946107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1205218757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST STE 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "848-288-6935",
"fax_number": "732-790-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COOPER PLZ RM 307",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-342-2328"
}
],
"practiceLocations": [
{
"address_1": "4755 Ogletown Stanton Rd Ste 116",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197182200",
"country_code": "US",
"telephone_number": "302-733-4700",
"fax_number": "302-623-7816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAZUNIAK",
"first_name": "MARKIAN",
"middle_name": "YURIY",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-22",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT209825",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA12301900",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "D84924",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "C1-0013669",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF MEDICINE",
"identifier": "D84924",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA BOARD OF MEDICINE",
"identifier": "MT209825",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.