Genadij Sienkiewicz MD, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

GENADIJ SIENKIEWICZ MD, PC

Practice address

507 Main St
Johnson City, NY 13790-1810

Phone

(607) 727-1019

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Genadij Sienkiewicz, M. D.

Title

President

Phone

(607) 727-1019

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1700073038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 KNAPP RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503038",
            "telephone_number": "607-727-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MAIN ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901810",
            "telephone_number": "607-727-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENADIJ SIENKIEWICZ MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "SIENKIEWICZ",
        "authorized_official_first_name": "GENADIJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-727-1019",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01956463",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00685727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah P Gaul
• Samiksha Gaur
• Cheryl A Gauzer, NP
• Kathleen Marie Gaynor, OD
• Alan M Geller, R.P.A-C.
• Josephine Sun Genese, D.O.
• Calene Gennett, CRNA
• Gina George-Cabot
• Alissa Giammarino, NP
• Marie Gilbert

• Dermatology Physician in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.