Individual provider Active NPI

Brittany Nicole Czmorek, M.B., B.CH., B.A.O.

  • Student in an Organized Health Care Education/Training Program
  • Buffalo, NY
National Provider Identifier
1578120580
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
77 Goodell Street
Buffalo, NY 14203
Phone
(716) 816-7258
Fax
(716) 845-6699
NPI assigned
May 24, 2019
Reactivated
Jan 27, 2020
Last updated
Jan 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

77 Goodell Street
Buffalo, NY 14203

Mailing address

77 Goodell Street
Buffalo, NY 14203
Phone (716) 816-7258

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190821002746 NY Order and Referring Only - Family PracticePractitioner - Family Practice 4688902158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Licensed Clinical Social Work Services, PLLC PastSince Apr 24, 2023 Accepting new patients
University Neurology, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1578120580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GOODELL STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-816-7258",
            "fax_number": "716-845-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GOODELL STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-816-7258",
            "fax_number": "716-845-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZMOREK",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "credential": "M.B., B.CH., B.A.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "deactivation_date": "2020-01-13",
        "reactivation_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.