Individual provider Active NPI

Grazyna D Sosnowski, MD

  • Pediatrics Physician
  • Syosset, NY
National Provider Identifier
1316045040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
220124 Issued in NY
Practice address
596 Jericho Tpke
Syosset, NY 11791-4522
Phone
(516) 677-5437
Fax
(516) 282-0999
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 220124 NY Primary

Addresses

Primary practice location

596 Jericho Tpke
Syosset, NY 11791-4522

Mailing address

11031 73Rd Rd
Apt 4D
Forest Hills, NY 11375-6317
Phone (718) 575-9383

Other identifiers 1

IdentifierTypeStateIssuer
02138278MedicaidNY

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
220124NYMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316045040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11031 73RD RD",
            "address_2": "APT 4D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756317",
            "telephone_number": "718-575-9383",
            "fax_number": "718-575-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914522",
            "telephone_number": "516-677-5437",
            "fax_number": "516-282-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSNOWSKI",
        "first_name": "GRAZYNA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "220124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02138278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

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.

Verify at the official NPI Registry.