Active NPI
Mark John Pisarczyk, D.C.
- Chiropractor
- Ludlow, MA
National Provider Identifier
1275675159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1490
- Practice address
- 563 Center St
Ludlow, MA 01056-2733 - Phone
- (413) 589-0884
- Fax
- (413) 589-0884
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1490 | MA | Primary |
Addresses
Primary practice location
563 Center St
Ludlow, MA 01056-2733
Mailing address
PO Box 351
Ludlow, MA 01056-0351
Phone (413) 589-0884
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6723704 | Other | CIGNA INSURANCE | |
| PIY36238 | Other | MA | BLUE CROSS BLUE SHIELD MA |
| 050001490MA-02 | Other | CT | BLUE CROSS BLUE SHIELD CT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1490 | MA | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275675159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 351",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010560351",
"telephone_number": "413-589-0884",
"fax_number": "413-589-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "563 CENTER ST",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010562733",
"telephone_number": "413-589-0884",
"fax_number": "413-589-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISARCZYK",
"first_name": "MARK",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INSURANCE",
"identifier": "6723704",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MA",
"identifier": "PIY36238",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD CT",
"identifier": "050001490MA-02",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ludlow, MA
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.