Mark Rydzewski, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

185061 Issued in NY

Practice address

5804 61St St
Maspeth, NY 11378-2811

Phone

(718) 894-9156

Fax

(718) 692-8569

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• Boro Medical, P.C.

  • Podiatrist
  • Long Island City, NY
  • NPI 1588682454
  NPD (past)
• Lifeco Medical, P.C.

  • Emergency Medicine Physician
  • Forest Hills, NY
  • NPI 1922031905
  NPD (past)
• New York Community Hospital of Brooklyn, Inc.

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1205840055
  NPD (past)
• Northside Medical Care LLP

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1659493179
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1558448571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 61ST ST",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782811",
            "telephone_number": "718-894-9156",
            "fax_number": "718-692-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 61ST ST",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782811",
            "telephone_number": "718-894-9156",
            "fax_number": "718-692-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDZEWSKI",
        "first_name": "MARK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "185061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01477861",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110167260",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Rigor
• Jennifer Rodriguez
• Mary Rodriguez
• Yvette Rodriguez, LCSW
• Caroline R Rosen, MA, CCC-SLP
• Magdalena Sadowska
• Jolanta Zofia Sadowski, OTA
• Kiara Salgado
• Julie D'Ann Sammon, OTR/L
• Bozena Lucyna Samojedny, OTA

• Emergency Medicine Physician in Maspeth, NY
• Providers in Maspeth, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.

Verify at the official NPI Registry.