Individual provider Active NPI

Barbara Sztukowski

  • Women's Health Nurse Practitioner
  • Ridgewood, NY
National Provider Identifier
1265039291
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421445 Issued in NY
Practice address
438 Stockholm St
Ridgewood, NY 11385-1333
Phone
(347) 528-4095
NPI assigned
Oct 2, 2020
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F421445 NY Primary

Addresses

Primary practice location

438 Stockholm St
Ridgewood, NY 11385-1333

Mailing address

438 Stockholm St
Ridgewood, NY 11385-1333
Phone (347) 528-4095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210527001400 NY Practitioner - Nurse Practitioner 7214336098 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F421445NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Century Medical & Dental Center Inc CurrentSince Aug 15, 2022 Accepting new patients
Advanced Physicians P C CurrentSince Oct 27, 2024 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

200 Livingston St
Brooklyn, NY 11201
Phone (718) 522-3399

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

6915 Yellowstone Blvd
Ste 4
Forest Hills, NY 11375
Phone (718) 360-9550

800 2nd Ave
New York, NY 10017
Phone (646) 918-7363

827 11th Ave
New York, NY 10019
Phone (212) 257-9778

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1265039291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 STOCKHOLM ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851333",
            "telephone_number": "347-528-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 STOCKHOLM ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851333",
            "telephone_number": "347-528-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZTUKOWSKI",
        "first_name": "BARBARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

Verify at the official NPI Registry.