Individual provider Active NPI

Adrian P Padkowsky, M.D

  • Internal Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1447559943
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09535300 Issued in NJ
Practice address
845 Broadway
Bayonne, NJ 07002-3018
Phone
(201) 858-2900
Fax
(201) 858-2910
NPI assigned
Mar 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09535300 NJ Primary

Addresses

Primary practice location

845 Broadway
Bayonne, NJ 07002-3018

Mailing address

845 Broadway
Bayonne, NJ 07002-3018
Phone (201) 858-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727000759 NJ Practitioner - Internal Medicine 5496048571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stat Medical Services LLCGroup PAC ID 4486749264, 2 clinicians

Practice addresses (Care Compare)

845 Broadway
Bayonne, NJ 07002-3018
Phone (201) 858-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.38 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Medical Services LLC Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Ijkg Opco LLC Current Accepting new patients

Locations

845 Broadway
Rm I248
Bayonne, NJ 07002

845 Broadway
Bayonne, NJ 07002
Phone (201) 858-2900

Interoperability endpoints

  • Direct secure messaging: adrian.padkowsky@direct.bayonnemedicalcenter.md

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1447559943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023018",
            "telephone_number": "201-858-2900",
            "fax_number": "201-858-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023018",
            "telephone_number": "201-858-2900",
            "fax_number": "201-858-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADKOWSKY",
        "first_name": "ADRIAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09535300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.