Active NPI
George a Kozminski Physician PC
- Internal Medicine Physician
- New Hartford, NY
National Provider Identifier
1558909812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GEORGE A KOZMINSKI PHYSICIAN PC
- Practice address
- 1 Oxford Xing Ste 1
New Hartford, NY 13413-3200 - Phone
- (315) 507-4751
- Fax
- (315) 765-6056
- NPI assigned
- Dec 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George A Kozminski, MD
- Title
- Owner
- Phone
- (315) 507-4751
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X |
Addresses
Primary practice location
1 Oxford Xing Ste 1
New Hartford, NY 13413-3200
Mailing address
1 Oxford Xing Ste 1
New Hartford, NY 13413-3200
Phone (315) 507-4751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576627200000",
"number": "1558909812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OXFORD XING STE 1",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134133200",
"telephone_number": "315-507-4751",
"fax_number": "315-765-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 OXFORD XING STE 1",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134133200",
"telephone_number": "315-507-4751",
"fax_number": "315-765-6056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE A KOZMINSKI PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-18",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A",
"authorized_official_last_name": "KOZMINSKI",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-507-4751",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.