Active NPI
Renata Anna Dudzicz-Slowik, MD
- Psychiatry Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 265085
- Practice address
- 760 Broadway
Woodhull Medical and Mental Health Center
Brooklyn, NY 11206 - Phone
- (718) 963-8000
- Fax
- (718) 630-3122
- NPI assigned
- Apr 29, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 265085 | NY | Primary |
Addresses
Primary practice location
760 Broadway
Woodhull Medical and Mental Health Center
Brooklyn, NY 11206
Mailing address
760 Broadway
Woodhull Medical and Mental Health Center
Brooklyn, NY 11206
Phone (718) 963-5792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-8165
7701 13TH Ave
Brooklyn, NY 11228-2413
Phone (718) 232-1351
Hospital & facility affiliations
- Maimonides Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265085 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Neighborhood Counseling Center Inc | Current | Accepting new patients | |
| Maimonides Department of Psychiatry FPP | Psychiatry | Current | Accepting new patients |
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| MMC OB-GYN Faculty Practice Plan | Past | Accepting new patients | |
| Anesthesiology Associates of Boro Park, LLP | Past | Accepting new patients |
Locations
920 48th St
Brooklyn, NY 11219
Phone (718) 283-7800
4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
7701 13th Ave
Brooklyn, NY 11228
Phone (718) 232-1351
2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- renata.dudziczslowik.p1@direct.mmc.nextgenshare.com
- renatadudziczslowik@mai.allscriptsdirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1376656710
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1457352098
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1518912302
-
- Specialist
- Brooklyn, NY
- NPI 1306843388
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1225396179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BROADWAY",
"address_2": "WOODHULL MEDICAL AND MENTAL HEALTH CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-963-5792",
"fax_number": "718-630-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 BROADWAY",
"address_2": "WOODHULL MEDICAL AND MENTAL HEALTH CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-963-8000",
"fax_number": "718-630-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDZICZ-SLOWIK",
"first_name": "RENATA",
"middle_name": "ANNA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-29",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "265085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.