Active NPI
Elizabeth J Wojcik, RN, CMF
- Durable Medical Equipment & Medical Supplies
- Old Lyme, CT
National Provider Identifier
1811027402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 332B00000X
- Practice address
- 19 Halls Rd
Old Lyme, CT 06371-1457 - Phone
- (860) 434-5523
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 332B00000X | CT | Primary |
Addresses
Primary practice location
19 Halls Rd
Old Lyme, CT 06371-1457
Mailing address
PO Box 4047
7 Talcott Farm Road
Old Lyme, CT 06371-4047
Phone (860) 434-5376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12DME0781CT01 | Other | CT | ANTHEM |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332B00000X | CT | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811027402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4047",
"address_2": "7 TALCOTT FARM ROAD",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063714047",
"telephone_number": "860-434-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 HALLS RD",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063711457",
"telephone_number": "860-434-5523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJCIK",
"first_name": "ELIZABETH",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RN, CMF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CT",
"license": "332B00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "12DME0781CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Old Lyme, CT
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.