Active NPI
Bohdan Nicholas Czartorysky, MD
- Child & Adolescent Psychiatry Physician
- Parsippany, NJ
National Provider Identifier
1457640609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 25MA07861100
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07861100 | NJ | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Behavioral Health Services | Current | Accepting new patients | |
| Bridgeway Behavioral Health Services | Current | 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
- 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.
-
- Community/Behavioral Health Agency
- Elizabeth, NJ
- NPI 1639294879
-
- Community/Behavioral Health Agency
- Union, NJ
- NPI 1386781920
-
- Marriage & Family Therapist
- Philadelphia, PA
- NPI 1518056159
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.