Organization Active NPI

Jozef M. Debiec, M.D., PLLC

  • Pain Clinic/Center
  • Tarrytown, NY
National Provider Identifier
1316170376
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
240161 Issued in NY
Legal business name
JOZEF M. DEBIEC, M.D., PLLC
Practice address
200 S Broadway
Suite 205
Tarrytown, NY 10591-4500
Phone
(914) 681-9089
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Dr. Jozef M Debiec, M.D.NPI 1952555310
Title
Member/Owner
Phone
(914) 681-9089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 240161 NY Primary

Addresses

Primary practice location

200 S Broadway
Suite 205
Tarrytown, NY 10591-4500

Mailing address

200 S Broadway
Suite 205
Tarrytown, NY 10591-4500
Phone (914) 681-9089

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100223000705 NY Part B Supplier - Clinic/Group Practice 8729122106 Receives reassigned benefits from 3 practitioners
Practice locations: New Rochelle, NY; Scarsdale, NY; Tarrytown, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1104660Jozef M Debiec, MD200 South Broadway, Suite 205, Tarrytown, NY 10591Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

Locations

421 Huguenot St
Ste 32
New Rochelle, NY 10801
Phone (914) 336-2828

200 S Broadway
Ste 205
Tarrytown, NY 10591
Phone (914) 366-6640

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1316170376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "address_2": "SUITE 205",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914500",
            "telephone_number": "914-681-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "address_2": "SUITE 205",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914500",
            "telephone_number": "914-681-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOZEF M. DEBIEC, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "DEBIEC",
        "authorized_official_first_name": "JOZEF",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "914-681-9089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NY",
            "license": "240161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.