Active NPI
Daria Niedzwiecki, DNP
- Family Nurse Practitioner
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F343756-01
- Practice address
- 260 Arden Ave
Staten Island, NY 10312-1229 - Phone
- (718) 966-5509
- NPI assigned
- Sep 16, 2019
- Last updated
- Oct 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024197101 | VA | |
| Family Nurse Practitioner | 363LF0000X | SP037292 | PA | |
| Family Nurse Practitioner | 363LF0000X | 26NJ00868600 | NJ | |
| Family Nurse Practitioner | 363LF0000X | F343756-01 | NY | Primary |
| Family Nurse Practitioner | 363LF0000X | 125369 | WV |
Addresses
Primary practice location
260 Arden Ave
Staten Island, NY 10312-1229
Mailing address
307 Egg Harbor Rd
Sewell, NJ 08080-1850
Other practice location 1
1 Cvs Dr
Woonsocket, RI 02895-6146
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
260 Arden Ave
Staten Island, NY 10312-1229
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00868600 | NJ | MD | Family Nurse Practitioner |
| 0024197101 | VA | MD | Family Nurse Practitioner |
| 125369 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Group of New York, P.C. | Family | Current | Accepting new patients |
Locations
107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222
7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910
260 Arden Ave
Staten Island, NY 10312
Phone (718) 227-3387
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 3
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.
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- NPI 1487983516
-
- Family Nurse Practitioner
- Rocky Hill, CT
- NPI 1386821932
-
- Family Nurse Practitioner
- Sewell, NJ
- NPI 1053353615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1619527306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 EGG HARBOR RD",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080801850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 ARDEN AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103121229",
"telephone_number": "718-966-5509"
}
],
"practiceLocations": [
{
"address_1": "1 Cvs Dr",
"address_purpose": "LOCATION",
"city": "Woonsocket",
"state": "RI",
"postal_code": "028956146",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEDZWIECKI",
"first_name": "DARIA",
"name_prefix": "Mrs.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024197101",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP037292",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00868600",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F343756-01",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "125369",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.