Active NPI
Christopher J Kaczmarski, M.D.
- Surgery Physician
- Nyack, NY
National Provider Identifier
1205866225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 148896
- Practice address
- 160 N Midland Ave FL 2
Nyack, NY 10960-1912 - Phone
- (845) 348-7600
- Fax
- (845) 348-2536
- NPI assigned
- Jul 4, 2006
- Last updated
- Jan 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD063400L | PA | |
| Surgery Physician | 208600000X | 148896 | NY | Primary |
Addresses
Primary practice location
160 N Midland Ave FL 2
Nyack, NY 10960-1912
Mailing address
305 Orchard Ave
Langhorne, PA 19047-3159
Phone (609) 760-3014
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J400523903 | Other | NY | MEDICARE |
| 01231790 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Plains Medical Diagnostic Services, PC | Family Medicine | Current | Accepting new patients |
| Pma Medical Specialists | Family Medicine | Past | Accepting new patients |
| Collin Em Brathwaite MD PLLC | Surgery | Past | Accepting new patients |
| Bariatric Specialists of Pennsylvania, P.C. | Surgery | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Center for Vein Restoration CT LLC | Past | Accepting new patients | |
| Suffolk Surgical Group, PC | Surgery | Past | Accepting new patients |
Locations
160 N Midland Ave
Fl 2
Nyack, NY 10960
Phone (845) 348-7600
Interoperability endpoints
- christopher.kaczmarskimd.p3@direct.cvr.nextgenshare.com
- christopher.kaczmarskimd.p5@direct.cvr.nextgenshare.com
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.
-
- Internal Medicine Physician
- Nyack, NY
- NPI 1689955338
Family Medicine
-
- Surgery Physician
- Smithtown, NY
- NPI 1124234489
-
- Surgery Physician
- East Patchogue, NY
- NPI 1346306750
-
- Surgery Physician
- Langhorne, PA
- NPI 1144250127
-
- Vascular Surgery Physician
- Stamford, CT
- NPI 1306282926
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
dba Prime Health Network
- Internal Medicine Physician
- Broomall, PA
- NPI 1043212137
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1205866225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 ORCHARD AVE",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190473159",
"telephone_number": "609-760-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 N MIDLAND AVE FL 2",
"city": "NYACK",
"state": "NY",
"postal_code": "109601912",
"telephone_number": "845-348-7600",
"fax_number": "845-348-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACZMARSKI",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD063400L",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "148896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "J400523903",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01231790",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.