Individual provider Active NPI

John L. Lyszczarz III, M.D.

  • Psychiatry Physician
National Provider Identifier
1285611921
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101223337 Issued in VA
Practice address
PSC 819 Box 1829
Fpo, AE 09645-1801
Phone
01134956823408
NPI assigned
Dec 23, 2005
Last updated
Oct 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101223337 VA Primary

Addresses

Primary practice location

PSC 819 Box 1829
Fpo, AE 09645-1801

Mailing address

PSC 819 Box 1829
Fpo, AE 09645-1801
Phone 01134956823408

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101223337VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Zalewski-Zaragoza, MD, Inc Psychiatry Current Accepting new patients

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1285611921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 819 BOX 1829",
            "city": "FPO",
            "state": "AE",
            "postal_code": "096451801",
            "telephone_number": "01134956823408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "PSC 819 BOX 1829",
            "city": "FPO",
            "state": "AE",
            "postal_code": "096451801",
            "telephone_number": "01134956823408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSZCZARZ",
        "first_name": "JOHN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101223337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.