Individual provider Active NPI

Bohdan Nicholas Czartorysky, MD

  • Child & Adolescent Psychiatry Physician
  • Parsippany, NJ
National Provider Identifier
1457640609
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA07861100 Issued in NJ
Practice address
199 Pomeroy Rd
2ND Floor
Parsippany, NJ 07054-3706
Phone
(973) 515-2804
Fax
(973) 515-2933
NPI assigned
Mar 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 25MA07861100 NJ Primary

Addresses

Primary practice location

199 Pomeroy Rd
2ND Floor
Parsippany, NJ 07054-3706

Mailing address

199 Pomeroy Rd
2ND Floor
Parsippany, NJ 07054-3706
Phone (973) 515-2804

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
I20150424000067 NJ Practitioner - Psychiatry 1456670447 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07861100NJMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Behavioral Health Services CurrentSince Jan 18, 2015 Accepting new patients
Bridgeway Behavioral Health Services CurrentSince Jan 18, 2015 Accepting new patients
Wives Self Help Foundation, Inc Past Accepting new patients

Locations

615 N Broad St
Elizabeth, NJ 07208
Phone (908) 355-7886

152 Central Ave
Jersey City, NJ 07306
Phone (201) 370-4232

373 Clermont Ter
Union, NJ 07083
Phone (908) 355-7886

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12604/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1457640609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 POMEROY RD",
            "address_2": "2ND FLOOR",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543706",
            "telephone_number": "973-515-2804",
            "fax_number": "973-515-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 POMEROY RD",
            "address_2": "2ND FLOOR",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543706",
            "telephone_number": "973-515-2804",
            "fax_number": "973-515-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARTORYSKY",
        "first_name": "BOHDAN",
        "middle_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA07861100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.