Zygmunt Wawrzyniak, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA56480 Issued in NJ

Practice address

520 N Wood Ave
Linden, NJ 07036-4147

Phone

(908) 587-9300

Fax

(908) 587-1901

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Garden State Cardiovascular Specialists P.C

  • Cardiovascular Disease Physician
  • Elizabeth, NJ
  • NPI 1225059660

  NJ

  Medicare reassignment NPD
• Zygmunt T Wawrzyniak MD

  • Internal Medicine Physician
  • Linden, NJ
  • NPI 1063589760

  Internal Medicine

  NPD (past) Authorized official
• Jersey City Medical Center

  • Emergency Medicine Physician
  • Jersey City, NJ
  • NPI 1053350421
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1720187859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364147",
            "telephone_number": "908-587-9300",
            "fax_number": "908-587-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364147",
            "telephone_number": "908-587-9300",
            "fax_number": "908-587-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWRZYNIAK",
        "first_name": "ZYGMUNT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA56480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5560101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Eastern Co, Inc
• Magdalena Anna Wareda, RN
• Tahlia Elisabeth Wasserman, PT, DPT
• Danielle M Wassum, PT, DPT
• Anara Watters, PTA
• Stella Weimiao Weng, DDS
• Nicole Christine Wesley, LPN
• Hannah Wikkeling, PA-C
• Will Ellavate Wellness
• Will Ellavate Wellness

• All providers in Linden, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.