Organization Active NPI

Lydon & Sawczak MD PA

  • Internal Medicine Physician
  • Jensen Beach, FL
National Provider Identifier
1487793303
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LYDON & SAWCZAK MD PA
Practice address
2050 NE Dixie Hwy
Jensen Beach, FL 34957-6441
Phone
(772) 334-2444
Fax
(772) 334-4122
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Toni A Sawczak, M.D.
Title
Owner
Phone
(772) 334-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2050 NE Dixie Hwy
Jensen Beach, FL 34957-6441

Mailing address

2050 NE Dixie Hwy
Jensen Beach, FL 34957-6441
Phone (772) 334-2444

Other identifiers 1

IdentifierTypeStateIssuer
372254600MedicaidFL

National Provider Directory

National Provider Directory

Locations

2050 NE Dixie Hwy
Jensen Beach, FL 34957
Phone (772) 333-4244

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1487793303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 NE DIXIE HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349576441",
            "telephone_number": "772-334-2444",
            "fax_number": "772-334-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 NE DIXIE HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349576441",
            "telephone_number": "772-334-2444",
            "fax_number": "772-334-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDON & SAWCZAK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "SAWCZAK",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-334-2444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372254600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.