Individual provider Active NPI

Patrick Jude Szurek, DC

  • Chiropractor
  • Saratoga Springs, NY
National Provider Identifier
1275531410
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010401-1 Issued in NY
Practice address
188 Lake Ave
Saratoga Springs, NY 12866-2529
Phone
(518) 581-9100
Fax
(518) 581-1707
NPI assigned
Jul 12, 2005
Last updated
Jun 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010401-1 NY Primary

Addresses

Primary practice location

188 Lake Ave
Saratoga Springs, NY 12866-2529

Mailing address

188 Lake Ave
Saratoga Springs, NY 12866-2529
Phone (518) 581-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428001471 NY Practitioner - Chiropractic 7517954753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

188 Lake Ave
Saratoga Springs, NY 12866-2529
Phone (518) 581-9100

50 Seward St
Saratoga Springs, NY 12866-1102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010401-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick J. Szurek, PLLC Chiropractor CurrentSince Jan 1, 2004 Accepting new patients

Locations

195 Church St
Saratoga Springs, NY 12866
Phone (518) 581-9100

50 Seward St
Saratoga Springs, NY 12866

Organizations & group practices 1

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1275531410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 LAKE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662529",
            "telephone_number": "518-581-9100",
            "fax_number": "518-581-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 LAKE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662529",
            "telephone_number": "518-581-9100",
            "fax_number": "518-581-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZUREK",
        "first_name": "PATRICK",
        "middle_name": "JUDE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010401-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.