Individual provider Active NPI

Patricia Laura Czernizer, M.D.

  • Pediatrics Physician
  • Elizabeth, NJ
National Provider Identifier
1235256223
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06252100 Issued in NJ
Practice address
435 Elmora Ave
Elizabeth, NJ 07208-1576
Phone
(908) 659-9200
Fax
(908) 659-9210
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA06252100 NJ Primary

Addresses

Primary practice location

435 Elmora Ave
Elizabeth, NJ 07208-1576

Mailing address

15 Oak Trail Rd
Hillsdale, NJ 07642-1217
Phone (201) 722-1247

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06252100NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ivy Pediatrics, PA Pediatrics Past Accepting new patients
Springfield Pediatrics, P.a. Pediatrics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235256223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OAK TRAIL RD",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421217",
            "telephone_number": "201-722-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081576",
            "telephone_number": "908-659-9200",
            "fax_number": "908-659-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZERNIZER",
        "first_name": "PATRICIA",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06252100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.