Stawicki and Patnaik Medical Associates, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1497732598 Issued in NJ

Legal business name

STAWICKI AND PATNAIK MEDICAL ASSOCIATES, P.C.

Practice address

1235 Whitehorse Mercerville Rd
Suite 316 BLDG. C
Mercerville, NJ 08619-3810

Phone

(609) 581-5586

Fax

(609) 581-5779

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Candace Louise Sandow-Kaiser

Title

Office/Billing Manager

Phone

(609) 581-5586

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asit Patnaik, M.D.

  • Internal Medicine Physician
  • Hamilton, NJ
  • NPI 1831280650
  Medicare reassignment Care Compare group NPD
• Jesse Joseph Stawicki, D.O.

  • Internal Medicine Physician
  • Mercerville, NJ
  • NPI 1497732598
  Medicare reassignment Care Compare group NPD
• Lianne Margaret Dehnam, ANP BC

  • Family Nurse Practitioner
  • Mercerville, NJ
  • NPI 1912984014

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1730291279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 316 BLDG. C",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193810",
            "telephone_number": "609-581-5586",
            "fax_number": "609-581-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 316 BLDG. C",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193810",
            "telephone_number": "609-581-5586",
            "fax_number": "609-581-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAWICKI AND PATNAIK MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "SANDOW-KAISER",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OFFICE/BILLING MANAGER",
        "authorized_official_telephone_number": "609-581-5586",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "1497732598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "0574375",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL AETNA",
            "identifier": "05793468",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP",
            "identifier": "1575075",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1941543",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "8155305",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTHPLANS",
            "identifier": "G1942701",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "035105",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH 65",
            "identifier": "733224000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD/GRP",
            "identifier": "CH0960",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos C Soriano, M.D.
• Grace Su Sperrazza
• Aaron A Sporn, MD
• Mary Frances Sprow
• Marlene Lee Stankus, M.A. CCC SLP
• Jesse Joseph Stawicki, D.O.
• Nicholas John Stettner
• William Eric Stubbs, OTR/L
• Glenn Sudnick, PHARMD
• Surgical Specialties of New Jersey, LLC

• Internal Medicine Physician in Mercerville, NJ
• Providers in Mercerville, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.