Individual provider Active NPI

Piotr Huskowski, MD

  • Gastroenterology Physician
  • Clifton, NJ
National Provider Identifier
1710932959
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA06677700 Issued in NJ
Practice address
1005 Clifton Ave
Clifton, NJ 07013
Phone
(973) 778-7882
Fax
(973) 778-3827
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA06677700 NJ Primary

Addresses

Primary practice location

1005 Clifton Ave
Clifton, NJ 07013

Mailing address

1005 Clifton Avenue
Clifton, NJ 07013
Phone (973) 778-7882

Other identifiers 1

IdentifierTypeStateIssuer
7452900MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100421000099 NJ Practitioner - Gastroenterology 5193869915 Reassigns benefits to 1 organization
Practice locations: Clifton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1005 Clifton Ave
Clifton, NJ 07013-3520
Phone (973) 778-7882

Hospital & facility affiliations

  • St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy216
Upper gastrointestinal (GI) endoscopy for acid reflux80

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Endoscopy, LLC CurrentSince Jan 11, 2016 Accepting new patients

Locations

164 Brighton Rd
Clifton, NJ 07012
Phone (973) 778-3111

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1710932959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 CLIFTON AVENUE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-778-7882",
            "fax_number": "973-778-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-778-7882",
            "fax_number": "973-778-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSKOWSKI",
        "first_name": "PIOTR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA06677700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7452900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.