Active NPI
Bozena A Laszczyk
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1568446011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 020801
- Practice address
- 3816 Nostrand Ave
Brooklyn, NY 11235 - Phone
- (718) 615-2944
- Fax
- (718) 615-2943
- NPI assigned
- Nov 29, 2005
- Last updated
- Jul 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 020801 | NY | Primary |
Addresses
Primary practice location
3816 Nostrand Ave
Brooklyn, NY 11235
Mailing address
7115 3Rd Ave
Apt. 2D
Brooklyn, NY 11209-1347
Phone (718) 833-0905
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2393586 | Other | NY | UNITED HEALTH CARE |
| 239618 | Other | NY | WELL CARE |
| 2331025 | Other | NY | CIGNA |
| 9746141 | Other | NY | GHI |
| 020801-NO2 | Other | NY | HIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040510001264 | NY | Practitioner - Physical Therapist in Private Practice | 5890784300 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3814 Nostrand Ave
Brooklyn, NY 11235-2013
Phone (718) 615-2944
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020801 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Z.Laszczyk, Physical Therapy, P.C. | Physical Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1700925518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1568446011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7115 3RD AVE",
"address_2": "APT. 2D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112091347",
"telephone_number": "718-833-0905",
"fax_number": "718-833-0905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "718-615-2944",
"fax_number": "718-615-2943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASZCZYK",
"first_name": "BOZENA",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "020801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2393586",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CARE",
"identifier": "239618",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2331025",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9746141",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "020801-NO2",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.