Individual provider Active NPI

Stanislaw - Niznikiewicz, MD

  • Obstetrics & Gynecology Physician
  • Harrison, NY
National Provider Identifier
1679635031
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
170606 Issued in NY
Practice address
351 Harrison Ave
351 Harrison Ave
Harrison, NY 10528-2716
Phone
(914) 777-1300
Fax
(914) 835-0115
NPI assigned
Dec 14, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 170606 NY Primary

Addresses

Primary practice location

351 Harrison Ave
351 Harrison Ave
Harrison, NY 10528-2716

Mailing address

351 Harrison Ave
351 Harrison Ave
Harrison, NY 10528-2716
Phone (914) 777-1300

Other names 1

  • Dr. Stanislaw - Niznikiewicz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120222000868 NY Practitioner - Obstetrics/Gynecology 6901064930 Practice locations: Harrison, NY; Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

351 Harrison Ave
Harrison, NY 10528-2716
Phone (914) 777-1300

National Provider Directory

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

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679635031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HARRISON AVE",
            "address_2": "351 HARRISON AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282716",
            "telephone_number": "914-777-1300",
            "fax_number": "914-835-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HARRISON AVE",
            "address_2": "351 HARRISON AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282716",
            "telephone_number": "914-777-1300",
            "fax_number": "914-835-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZNIKIEWICZ",
        "first_name": "STANISLAW",
        "middle_name": "-",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "170606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STANISLAW",
            "last_name": "NIZNIKIEWICZ",
            "middle_name": "-",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.