Active NPI
Stanley J. Szaniawski, D.P.M.
- Podiatrist
- Brick, NJ
National Provider Identifier
1487659124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00225500
- Practice address
- 125 Drum Point Rd
Brick, NJ 08723-6221 - Phone
- (732) 920-3338
- Fax
- (732) 920-9292
- NPI assigned
- Jun 18, 2005
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00225500 | NJ | Primary |
Addresses
Primary practice location
125 Drum Point Rd
Brick, NJ 08723-6221
Mailing address
125 Drum Point Rd
Brick, NJ 08723-6221
Phone (732) 939-2470
Other practice location 1
74 Brick Blvd Ste 104
Brick, NJ 08723-7984
Phone (732) 939-2470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8408700 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Coast Chiropractic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Brick, NJ
- NPI 1124313531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1487659124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 DRUM POINT RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087236221",
"telephone_number": "732-939-2470",
"fax_number": "732-262-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 DRUM POINT RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087236221",
"telephone_number": "732-920-3338",
"fax_number": "732-920-9292"
}
],
"practiceLocations": [
{
"address_1": "74 Brick Blvd Ste 104",
"address_purpose": "LOCATION",
"city": "Brick",
"state": "NJ",
"postal_code": "087237984",
"country_code": "US",
"telephone_number": "732-939-2470",
"fax_number": "732-262-3007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SZANIAWSKI",
"first_name": "STANLEY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-18",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00225500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8408700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.