Active NPI
Sylvester Wojtkowski, PHD
- Psychologist
- New York, NY
National Provider Identifier
1215057252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 011736
- Practice address
- 420 E 51St St
Suite C
New York, NY 10022-8014 - Phone
- (212) 754-6451
- NPI assigned
- Mar 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 011736 | NY | Primary |
Addresses
Primary practice location
420 E 51St St
Suite C
New York, NY 10022-8014
Mailing address
420 E 51St St
Suite C
New York, NY 10022-8014
Phone (212) 754-6451
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011736 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281830400000",
"number": "1215057252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 51ST ST",
"address_2": "SUITE C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100228014",
"telephone_number": "212-754-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 51ST ST",
"address_2": "SUITE C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100228014",
"telephone_number": "212-754-6451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJTKOWSKI",
"first_name": "SYLVESTER",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-31",
"last_updated": "2010-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "011736",
"primary": true
}
],
"identifiers": [],
"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 Aug 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.