Active NPI
Marek Stawiarski
- Cardiovascular Disease Physician
- Brooklyn, NY
National Provider Identifier
1780600957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 194855
- Practice address
- 145 Nassau Ave
Brooklyn, NY 11222-4004 - Phone
- (718) 389-6575
- Fax
- (718) 389-4977
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 194855 | NY | Primary |
Addresses
Primary practice location
145 Nassau Ave
Brooklyn, NY 11222-4004
Mailing address
145 Nassau Ave
Brooklyn, NY 11222-4004
Phone (718) 389-6575
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0L185P | Other | NY | HIP |
| 6012016 | Other | GHI | |
| 01516792 | Medicaid | NY | |
| P418217 | Other | NY | OXFORD |
| 194855-A22 | Other | HEALTH FIRST | |
| 5471261 | Other | AETNA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780600957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 NASSAU AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112224004",
"telephone_number": "718-389-6575",
"fax_number": "718-389-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 NASSAU AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112224004",
"telephone_number": "718-389-6575",
"fax_number": "718-389-4977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAWIARSKI",
"first_name": "MAREK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "194855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "0L185P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6012016",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01516792",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P418217",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "194855-A22",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5471261",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.