John Dzik, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

198388 Issued in NY

Practice address

4899 Transit Rd
Depew, NY 14043-4776

Phone

(716) 558-5437

Fax

(716) 558-5444

NPI assigned

Feb 21, 2006

Last updated

Nov 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: drjohndzik@gtpediatrics.medentdirect.com

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1659346948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4899 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434776",
            "telephone_number": "716-558-5437",
            "fax_number": "716-558-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4899 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434776",
            "telephone_number": "716-558-5437",
            "fax_number": "716-558-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIK",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "198388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01642020",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yennga T Drabik, PHARM D.
• Ellen M Drexler, OT
• Amanda Ducrocq, ORT/L
• Christopher Michael Dukat, ATC
• Shantell Dustin, DPT, PTA, ATC
• Eckerd Corporation (Rite Aid Pharmacy 10809)
• Eckerd Corporation (Rite Aid Pharmacy 10808)
• Amy Marie Ehrhardt, LMT
• Rachel Eising
• Dilafruz Usman Elnasser, AGPN-C

• Pediatric Adolescent Medicine Physician in Depew, NY
• Providers in Depew, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.