Active NPI
Agata Wojtasiewicz, MD.
- Family Medicine Physician
- Baldwinsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 259755
- Practice address
- 8278 Willett Parkway
2ND Floor
Baldwinsville, NY 13027 - Phone
- (315) 652-1325
- Fax
- (315) 857-2886
- NPI assigned
- Dec 1, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 259755 | NY | Primary |
Addresses
Primary practice location
8278 Willett Parkway
2ND Floor
Baldwinsville, NY 13027
Mailing address
5112 West Taft Road
Suite L
Liverpool, NY 13088
Phone (315) 452-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03308270 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5100 W Taft Rd
Liverpool, NY 13088-3807
Phone (315) 452-2828
5100 W Taft Rd
Liverpool, NY 13088-4841
Hospital & facility affiliations
- Centerwell Home Health
- Nascentia Health at Home
- Hospice of Central New York
- St Joseph'S Hospital Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259755 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Medical PC | Family Medicine | Current | Accepting new patients |
| St Josephs Medical PC | Family Medicine | Current | Accepting new patients |
| St Joseph'S Hospital Health Center | Family Medicine | Current | Accepting new patients |
| St Josephs Hospital Health Center | Current | Accepting new patients |
Locations
8278 Willett Pkwy
Fl 2
Baldwinsville, NY 13027
Phone (315) 652-1325
4104 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7001
5100 W Taft Rd
Ste 1D
Liverpool, NY 13088
Phone (315) 452-2828
7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451
5112 W Taft Rd
Ste L
Liverpool, NY 13088
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876
Interoperability endpoints
- awojtasiewicz2386664@direct.trinity-health.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1699832436
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Syracuse, NY
- NPI 1912939489
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Community Based Hospice Care Agency
- Liverpool, NY
- NPI 1912098666
-
- Home Health Agency
- Syracuse, NY
- NPI 1265437982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1376798520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5112 WEST TAFT ROAD",
"address_2": "SUITE L",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "13088",
"telephone_number": "315-452-2500",
"fax_number": "315-452-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8278 WILLETT PARKWAY",
"address_2": "2ND FLOOR",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "13027",
"telephone_number": "315-652-1325",
"fax_number": "315-857-2886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJTASIEWICZ",
"first_name": "AGATA",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-01",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "259755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03308270",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.