Individual provider Active NPI

Jennifer C Czarniak, PA

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1528050259
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1100 Issued in MA
Practice address
725 Albany St
Shapiro 8, Suite a
Boston, MA 02118
Phone
(617) 638-8419
Fax
(617) 414-0201
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1100 MA Primary

Addresses

Primary practice location

725 Albany St
Shapiro 8, Suite a
Boston, MA 02118

Mailing address

16 Boxberry LN Unit 16
Rockland, MA 02370-1103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000514 MA Practitioner - Physician Assistant 1456366608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape and Islands Plastic Surgery PCGroup PAC ID 1254509755, 3 clinicians

Practice addresses (Care Compare)

26 Gleason St
Hyannis, MA 02601-5223
Phone (508) 771-8967

Merit-based Incentive Payment System (MIPS)

Final score
34.71 of 100Reported as group
Quality
36.67
Improvement activities
0
Cost
66.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1100MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Mar 19, 2017 Accepting new patients
Steward Medical Group, Inc. Past Accepting new patients

Locations

25 Communication Way
Hyannis, MA 02601
Phone (508) 957-8669

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

Organizations & group practices 4

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1528050259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BOXBERRY LN UNIT 16",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023701103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ALBANY ST",
            "address_2": "SHAPIRO 8, SUITE A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-8419",
            "fax_number": "617-414-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARNIAK",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.