Individual provider Active NPI

Michael Swierczynski, R.R.A.

  • Radiology Practitioner Assistant
  • Sicklerville, NJ
National Provider Identifier
1760758148
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
000189 Issued in NY
Practice address
8 Firethorn LN
Sicklerville, NJ 08081-4154
Phone
(856) 304-5986
NPI assigned
Mar 29, 2012
Last updated
Jul 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular-Interventional Technology Radiologic Technologist 2471V0106X 914462 NY
Radiology Clinic/Center 261QR0200X 000189 NY
Cardiovascular-Interventional Technology Radiologic Technologist 2471C1101X 624943 NJ
Radiology Practitioner Assistant 243U00000X 000189 NY Primary

Addresses

Primary practice location

8 Firethorn LN
Sicklerville, NJ 08081-4154

Mailing address

8 Firethorn LN
Sicklerville, NJ 08081-4154
Phone (856) 304-5986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
624943NJMDCardiovascular-Interventional Technology Radiologic Technologist
914462NYMDVascular-Interventional Technology Radiologic Technologist
000189NYMDRadiology Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1760758148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FIRETHORN LN",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814154",
            "telephone_number": "856-304-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FIRETHORN LN",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814154",
            "telephone_number": "856-304-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIERCZYNSKI",
        "first_name": "MICHAEL",
        "credential": "R.R.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": "NY",
            "license": "914462",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NY",
            "license": "000189",
            "primary": false
        },
        {
            "code": "2471C1101X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
            "state": "NJ",
            "license": "624943",
            "primary": false
        },
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "NY",
            "license": "000189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.