Individual provider Active NPI

Pawel Kielczewski, RRT

  • Registered Respiratory Therapist
  • Bridgewater, NJ
National Provider Identifier
1235580507
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
43ZA00561900 Issued in NJ
Practice address
333 Woodside LN
Bridgewater, NJ 08807-3085
Phone
(917) 709-0930
NPI assigned
Jun 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 43ZA00561900 NJ Primary

Addresses

Primary practice location

333 Woodside LN
Bridgewater, NJ 08807-3085

Mailing address

333 Woodside LN
Bridgewater, NJ 08807-3085
Phone (917) 709-0930

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

State licenses

LicenseStateTypeSpecialty
43ZA00561900NJMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1235580507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WOODSIDE LN",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073085",
            "telephone_number": "917-709-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WOODSIDE LN",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073085",
            "telephone_number": "917-709-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELCZEWSKI",
        "first_name": "PAWEL",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NJ",
            "license": "43ZA00561900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.