Organization Active NPI

Andrew C. Przybyla, MD,PC

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1437468014
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
106073 Issued in NY
Legal business name
ANDREW C. PRZYBYLA, MD,PC
Practice address
5 Crafton Ave
Staten Island, NY 10314-6801
Phone
(718) 698-2220
Fax
(718) 698-2220
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Dr. Andrew C Przybyla, MDNPI 1114972718
Title
Owner
Phone
(718) 698-2220

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 106073 NY Primary

Addresses

Primary practice location

5 Crafton Ave
Staten Island, NY 10314-6801

Mailing address

5 Crafton Ave
Staten Island, NY 10314-6801
Phone (718) 698-2220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110310000903 NY Part B Supplier - Clinic/Group Practice 9234311358 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

5 Crafton Ave
Staten Island, NY 10314
Phone (718) 698-2220

Practitioners & affiliated clinicians

Practitioners 2

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": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1437468014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CRAFTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146801",
            "telephone_number": "718-698-2220",
            "fax_number": "718-698-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CRAFTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146801",
            "telephone_number": "718-698-2220",
            "fax_number": "718-698-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW C. PRZYBYLA, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "PRZYBYLA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-698-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "106073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.