Individual provider Active NPI

Joseph J Czarnecki, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Woburn, MA
National Provider Identifier
1639147374
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
151655 Issued in MA
Practice address
200 Unicorn Park Dr
Suite 201
Woburn, MA 01801-3324
Phone
(781) 782-1300
Fax
(781) 782-1350
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 151655 MA Primary

Addresses

Primary practice location

200 Unicorn Park Dr
Suite 201
Woburn, MA 01801-3324

Mailing address

200 Unicorn Park Dr
Suite 201
Woburn, MA 01801-3324
Phone (781) 782-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040428000530 MA Practitioner - Orthopedic Surgery 3971590399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Orthopaedic SpecialistsGroup PAC ID 0648241414, 46 clinicians

Practice addresses (Care Compare)

200 Unicorn Park Dr
Suite 201
Woburn, MA 01801-3342
Phone (781) 782-1300

Hospital & facility affiliations

  • Winchester Hospital Hospital, Winchester, MA, CCN 220105
  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)15
Upper limb (arm) arthroscopy (minimally invasive joint repair)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151655MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northridge Surgical Suites, LLC CurrentSince May 5, 2020 Accepting new patients
Excel Orthopaedic Specialists Sports Medicine CurrentSince Jul 1, 2004 Accepting new patients
Excel Orthopaedic Specialists Inc Past Accepting new patients
Excel Orthopaedic Specialists Inc Past Accepting new patients

Locations

200 Unicorn Park Dr
Ste 201
Woburn, MA 01801
Phone (781) 782-1300

41 Innovative Way
Nashua, NH 03062
Phone (603) 484-7710

Interoperability endpoints

  • Direct secure messaging: joseph.czarnecki.excel@elincdirect.org
  • Direct secure messaging: jczarnecki28590@tuftsmedicine.direct-ci.com
  • Direct secure messaging: joseph.czarnecki@eos.eclinicaldirectplus.com

Organizations & group practices 4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1639147374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNICORN PARK DR",
            "address_2": "SUITE 201",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013324",
            "telephone_number": "781-782-1300",
            "fax_number": "781-782-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNICORN PARK DR",
            "address_2": "SUITE 201",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013324",
            "telephone_number": "781-782-1300",
            "fax_number": "781-782-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARNECKI",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MA",
            "license": "151655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.