Individual provider Active NPI

Malgorzata Maria Skarzynska, M.D.

  • Pediatrics Physician
  • Fircrest, WA
National Provider Identifier
1477841302
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
60936058 Issued in WA
Practice address
1033 Regents Blvd Ste 102
Fircrest, WA 98466-6089
Phone
(253) 564-1115
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 60936058 WA Primary

Addresses

Primary practice location

1033 Regents Blvd Ste 102
Fircrest, WA 98466-6089

Mailing address

1033 Regents Blvd Ste 102
Fircrest, WA 98466-6089
Phone (253) 564-1115

Other practice location 1

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-8324

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140729002244 PA Practitioner - Pediatric Medicine 3476779323 Reassigns benefits to 1 organization
I20260108000353 WA Practitioner - Pediatric Medicine 3476779323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23511 56TH Ave W
Suite 105
Mountlake Terrace, WA 98043-5285

PO Box
Suite 5371
Seattle, WA 98145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60936058WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Pediatrics CurrentSince Jul 1, 2014 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2014 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Umbrella Pediatrics PC Pediatrics CurrentSince Nov 1, 2025 Accepting new patients
University Place Pediatric Clinic P S Pediatrics CurrentSince Oct 23, 2022 Accepting new patients

Locations

5501 York Rd
Ste 1
Philadelphia, PA 19141
Phone (215) 456-6500

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630

1033 Regents Blvd
Ste 102
Fircrest, WA 98466
Phone (253) 564-1115

23511 56th Ave W
Ste 105
Mountlake Terrace, WA 98043
Phone (206) 546-2421

Organizations & group practices 5

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1477841302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 REGENTS BLVD STE 102",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666089",
            "telephone_number": "253-564-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 REGENTS BLVD STE 102",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666089",
            "telephone_number": "253-564-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-8324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKARZYNSKA",
        "first_name": "MALGORZATA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "60936058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "address_1": "1033 Regents Blvd Ste 102",
            "city": "Fircrest",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984666089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fircrest, WA

Sources for this page

Verify at the official NPI Registry.