NPIMap

Individual provider Active NPI

Jennifer Marie Tomczak, M.D.

  • Diagnostic Radiology Physician
  • Garden City, NY
National Provider Identifier
1689688863
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
242385-1 Issued in NY
Practice address
990 Stewart Ave
Suite 400
Garden City, NY 11530-4822
Phone
(516) 222-2022
Fax
(516) 222-8475
NPI assigned
Jul 27, 2006
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 242385-1 NY Primary

Addresses

Primary practice location

990 Stewart Ave
Suite 400
Garden City, NY 11530-4822

Mailing address

990 Stewart Ave
Suite 400
Garden City, NY 11530-4822
Phone (516) 222-2022

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtomczak112718@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071008000195 NY Practitioner - Diagnostic Radiology 2163423237 Reassigns benefits to 2 organizations
I20260611001056 FL Practitioner - Diagnostic Radiology 2163423237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242385-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jun 1, 2015 Accepting new patients
New York University CurrentSince Jun 1, 2015 Accepting new patients

Locations

700 Stewart Ave
Garden City, NY 11530
Phone (516) 222-2020

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: jtomczak112718@nyumc.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1689688863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE",
            "address_2": "SUITE 400",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-222-2022",
            "fax_number": "516-222-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE",
            "address_2": "SUITE 400",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-222-2022",
            "fax_number": "516-222-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMCZAK",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "242385-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtomczak112718@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "990 Stewart Ave",
            "address_2": "Suite 400",
            "city": "Garden City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115304822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.