Orest Padkowsky, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA42151 Issued in NJ

Legal business name

OREST PADKOWSKY, MD, LLC

Practice address

989 Broadway
Bayonne, NJ 07002-4040

Phone

(201) 823-8555

Fax

(201) 823-2979

NPI assigned

May 12, 2008

Last updated

May 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Orest Padkowsky, M.D.

Title

Owner

Phone

(201) 823-8555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1801063631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024040",
            "telephone_number": "201-823-8555",
            "fax_number": "201-823-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024040",
            "telephone_number": "201-823-8555",
            "fax_number": "201-823-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREST PADKOWSKY, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "PADKOWSKY",
        "authorized_official_first_name": "OREST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-823-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA42151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.