Individual provider Active NPI

Grazyna Gawryluk

  • Social Worker
  • Teterboro, NJ
National Provider Identifier
1699200360
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06062200 Issued in NJ
Practice address
100 Hollister Rd
Teterboro, NJ 07608-1148
Phone
(201) 498-9140
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
44SL06062200NJMDSocial Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06062200 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

100 Hollister Rd
Teterboro, NJ 07608-1148

Mailing address

24 5TH St
Wood Ridge, NJ 07075-2108

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 1, 2017.

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1699200360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 5TH ST",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070752108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOLLISTER RD",
            "city": "TETERBORO",
            "state": "NJ",
            "postal_code": "076081148",
            "telephone_number": "201-498-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWRYLUK",
        "first_name": "GRAZYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06062200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teterboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.