Individual provider Active NPI

Jarrett Peter Kaczmarski, PA

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1740362516
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0084761 Issued in NY
Practice address
506 Malcolm X Blvd
MLK RM 3101a
New York, NY 10037-1802
Phone
(212) 939-2390
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0084761 NY Primary

Addresses

Primary practice location

506 Malcolm X Blvd
MLK RM 3101a
New York, NY 10037-1802

Mailing address

520 W 48TH St Apt 7N
New York, NY 10036-1147
Phone (917) 687-2381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110404000235 NY Practitioner - Physician Assistant 0840474607 Reassigns benefits to 1 organization
I20161114001586 NJ Practitioner - Physician Assistant 0840474607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

1527 State Route 27
Suite B 100
Somerset, NJ 08873-3979
Phone (844) 337-6362

2 Hudson PL
Hoboken, NJ 07030-5594
Phone (212) 283-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0084761NYMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jarrett.kaczmarski@schweigerderm.emadirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740362516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W 48TH ST APT 7N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361147",
            "telephone_number": "917-687-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MALCOLM X BLVD",
            "address_2": "MLK RM 3101A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZMARSKI",
        "first_name": "JARRETT",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "0084761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.