Individual provider Active NPI

Gerald Joseph Przybylski, DC

  • Chiropractor
  • Oneida, NY
National Provider Identifier
1366501280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X003124 Issued in NY
Practice address
204 Broad Street
Oneida, NY 13421-2102
Phone
(315) 363-0038
Fax
(315) 363-0038
NPI assigned
Dec 6, 2006
Sex
Male
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
Chiropractor 111N00000X X003124 NY Primary

Addresses

Primary practice location

204 Broad Street
Oneida, NY 13421-2102

Mailing address

204 Broad Street
Oneida, NY 13421-2102
Phone (315) 363-0038

Other identifiers 2

IdentifierTypeStateIssuer
NY03124OtherNYMVP INS
816751OtherNYEMPIRE INS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120228000045 NY Practitioner - Chiropractic 1951569664 Receives reassigned benefits from 1 practitioner
Practice locations: Oneida, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

204 Broad St
Oneida, NY 13421-2102
Phone (315) 363-0038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X003124NYMDChiropractor
003124NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Chiropractic Clinic Chiropractor PastSince Apr 24, 2017 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366501280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BROAD STREET",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212102",
            "telephone_number": "315-363-0038",
            "fax_number": "315-363-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BROAD STREET",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212102",
            "telephone_number": "315-363-0038",
            "fax_number": "315-363-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYLSKI",
        "first_name": "GERALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X003124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP INS",
            "identifier": "NY03124",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE INS",
            "identifier": "816751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, 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.
  • 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.