Individual provider Active NPI

Markian Yuriy Pazuniak, M.D

  • Psychiatry Physician
  • Camden, NJ
National Provider Identifier
1205218757
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA12301900 Issued in NJ
Practice address
3 Cooper PLZ RM 307
Camden, NJ 08103-1438
Phone
(856) 342-2328
NPI assigned
Jun 22, 2015
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C1-0013669OtherDEMEDICAL LICENSE
D84924OtherMDMARYLAND BOARD OF MEDICINE
MT209825OtherPAPENNSYLVANIA BOARD OF MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191216002386 MD Practitioner - Psychiatry 9638410079 Reassigns benefits to 1 organization
I20200714003950 DE Practitioner - Psychiatry 9638410079 Reassigns benefits to 1 organization
I20240915000048 NJ Practitioner - Psychiatry 9638410079 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12301900NJMDPsychiatry Physician
MT209825PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Psychiatry CurrentSince Jul 9, 2020 Accepting new patients
Union Hospital of Cecil County CurrentSince Apr 1, 2021 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Union Hospital of Cecil County CurrentSince Apr 1, 2021 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 9, 2020 Accepting new patients
CMC Psychiatric Associates, PC Psychiatry CurrentSince Sep 3, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.