Individual provider Active NPI

Tadeusz Janusz Majchrzak, MD

  • Family Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1720061070
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA5867500 Issued in NJ
Practice address
3000 Kennedy Blvd Ste 308
Jersey City, NJ 07306-3817
Phone
(201) 963-0800
Fax
(201) 656-6934
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA5867500 NJ Primary

Addresses

Primary practice location

3000 Kennedy Blvd Ste 308
Jersey City, NJ 07306-3817

Mailing address

PO Box 8329
Jersey City, NJ 07308-8329
Phone (201) 963-0800

Other identifiers 1

IdentifierTypeStateIssuer
223779589OtherTAX ID

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
I20040401000728 NJ Practitioner - Internal MedicinePractitioner - General Practice 2860484508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3000 Kennedy Blvd
Suite 308
Jersey City, NJ 07306-3817
Phone (201) 963-0800

8329 PO Box
Jersey City, NJ 07308

PO Box
Suite 8329
Jersey City, NJ 07308-8329

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA5867500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitamed Family Practice CurrentSince Jul 1, 2005 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients

Locations

646 Newark Ave
Jersey City, NJ 07306
Phone (201) 963-0800

Interoperability endpoints

  • Direct secure messaging: tadeusz.majchrzak@direct.christhospital.md

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.

Hospital & facility affiliations 3

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1720061070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8329",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073088329",
            "telephone_number": "201-963-0800",
            "fax_number": "201-656-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 KENNEDY BLVD STE 308",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063817",
            "telephone_number": "201-963-0800",
            "fax_number": "201-656-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJCHRZAK",
        "first_name": "TADEUSZ",
        "middle_name": "JANUSZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA5867500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223779589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.