Individual provider Active NPI

Marianna Worczak, MD

  • Family Medicine Physician
  • Malone, NY
National Provider Identifier
1609190560
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
270703 Issued in NY
Practice address
24 4TH St
Malone, NY 12953-1350
Phone
(518) 824-2562
Fax
(833) 941-5091
NPI assigned
Mar 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 270703 NY Primary

Addresses

Primary practice location

24 4TH St
Malone, NY 12953-1350

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other identifiers 1

IdentifierTypeStateIssuer
03643249MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130829000713 NY Practitioner - Family Practice 2466695069 Reassigns benefits to 1 organization
I20250616002647 WI Practitioner - Family Practice 2466695069 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services, IncGroup PAC ID 9436061363, 32 clinicians

Practice addresses (Care Compare)

11040 N State Rd
Hayward, WI 54843-6391
Phone (715) 934-4245

11040 N State Rd
Suite 77
Hayward, WI 54843-3606

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
85750WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services, Inc CurrentSince Jun 1, 2025 Accepting new patients
Memorial Medical Center Inc CurrentSince Jun 1, 2025 Accepting new patients
Memorial Medical Center Inc CurrentSince Jun 1, 2025 Accepting new patients
Medical Services, Inc CurrentSince Jun 1, 2025 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
Medical Services, Inc Past Accepting new patients

Locations

159 Margaret St
Ste 100
Plattsburgh, NY 12901
Phone (518) 314-3939

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

11040 N State Road 77
Hayward, WI 54843
Phone (715) 934-4244

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1609190560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 4TH ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531350",
            "telephone_number": "518-824-2562",
            "fax_number": "833-941-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORCZAK",
        "first_name": "MARIANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "270703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03643249",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malone, NY

Sources for this page

Verify at the official NPI Registry.