Active NPI
Danielle Theresa Dziedzic, M.D.
- Pediatrics Physician
- Monroe, NY
National Provider Identifier
1689835951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 246049
- Practice address
- 70 Gilbert St
Monroe, NY 10950-1538 - Phone
- (845) 783-5723
- NPI assigned
- Jun 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 246049 | NY | Primary |
Addresses
Primary practice location
70 Gilbert St
Monroe, NY 10950-1538
Mailing address
70 Gilbert St
Monroe, NY 10950-1538
Phone (845) 783-5723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246049 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Pediatric Associates, P.C. | Pediatrics | Past | Accepting new patients |
| Allied Physicians Group, PLLC | Pediatrics | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- danielle.dziedzic.1@29151.direct.athenahealth.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 and National Provider Directory roles.
-
- Pediatrics Physician
- Melville, NY
- NPI 1396944799
-
- Pediatrics Physician
- Monroe, NY
- NPI 1144421538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1689835951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 GILBERT ST",
"city": "MONROE",
"state": "NY",
"postal_code": "109501538",
"telephone_number": "845-783-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 GILBERT ST",
"city": "MONROE",
"state": "NY",
"postal_code": "109501538",
"telephone_number": "845-783-5723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZIEDZIC",
"first_name": "DANIELLE",
"middle_name": "THERESA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "246049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.