Individual provider Active NPI

Waldemar Kramarczyk, MD

  • Internal Medicine Physician
  • Maspeth, NY
National Provider Identifier
1609930288
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
191261 Issued in NY
Practice address
5968 Grand Ave
Maspeth, NY 11378-2733
Phone
(718) 894-2905
Fax
(718) 326-1921
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 191261 NY Primary

Addresses

Primary practice location

5968 Grand Ave
Maspeth, NY 11378-2733

Mailing address

5968 Grand Ave
Maspeth, NY 11378-2733
Phone (718) 894-2905

Other identifiers 2

IdentifierTypeStateIssuer
DP348OtherNYOXF
4370011OtherNYAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609930288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5968 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782733",
            "telephone_number": "718-894-2905",
            "fax_number": "718-326-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5968 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782733",
            "telephone_number": "718-894-2905",
            "fax_number": "718-326-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMARCZYK",
        "first_name": "WALDEMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "191261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXF",
            "identifier": "DP348",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4370011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.