Individual provider Active NPI

Marek Leonard Sikora, MD

  • Internal Medicine Physician
  • Maspeth, NY
National Provider Identifier
1801934013
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
142085 Issued in NY
Practice address
65 04 Grand Ave
Maspeth, NY 11378-2423
Phone
(718) 894-9274
Fax
(718) 894-9753
NPI assigned
Feb 1, 2007
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
Internal Medicine Physician 207R00000X 142085 NY Primary

Addresses

Primary practice location

65 04 Grand Ave
Maspeth, NY 11378-2423

Mailing address

65 04 Grand Ave
Maspeth, NY 11378-2423
Phone (718) 894-9274

Other identifiers 2

IdentifierTypeStateIssuer
25037OtherNYGHI
28A711OtherNYB CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070215000599 NY Practitioner - Internal Medicine 0840292116 Practice locations: Brooklyn, NY; Maspeth, NY; Flushing, NY; Hauppauge, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

65 04 Grand Ave
Maspeth, NY 11378-2423

6504 Grand Ave
Flushing, NY 11378-2423
Phone (718) 894-9274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
142085NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Heights Medical Center Current Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

Interoperability endpoints

  • Direct secure messaging: mareksikora@whmc.allscriptsdirect.net

Organizations & group practices 1

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801934013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 04 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782423",
            "telephone_number": "718-894-9274",
            "fax_number": "718-894-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 04 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782423",
            "telephone_number": "718-894-9274",
            "fax_number": "718-894-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORA",
        "first_name": "MAREK",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "142085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "25037",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B CROSS",
            "identifier": "28A711",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

Verify at the official NPI Registry.