Individual provider Active NPI

Grzegorz Kozikowski, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1821090200
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
222249 Issued in NY
Practice address
146 Norman Ave
Brooklyn, NY 11222-3385
Phone
(718) 349-1221
NPI assigned
Aug 15, 2005
Last updated
Apr 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 222249 NY Primary

Addresses

Primary practice location

146 Norman Ave
Brooklyn, NY 11222-3385

Mailing address

14222 13TH Ave
Whitestone, NY 11357-2319
Phone (718) 208-3244

Other identifiers 1

IdentifierTypeStateIssuer
02420299MedicaidNY

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
I20040407001679 NY Practitioner - AnesthesiologyPractitioner - Pain Management 4385637982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6051 69TH Ave
Ridgewood, NY 11385-5153
Phone (718) 381-3456

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East River Neurology, PC CurrentSince Sep 5, 2018 Accepting new patients
Comprehensive Pain Medicine P.C. Anesthesiology CurrentSince Jun 15, 2004 Accepting new patients
New York University Past Accepting new patients

Locations

134 Greenpoint Ave
Ste 1
Brooklyn, NY 11222
Phone (718) 381-3456

6051 69th Ave
Ridgewood, NY 11385
Phone (718) 381-3456

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: gkozikowski@1386.mdlanddirect.com
  • Direct secure messaging: gpk9003@direct.nyp.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1821090200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14222 13TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572319",
            "telephone_number": "718-208-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 NORMAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112223385",
            "telephone_number": "718-349-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIKOWSKI",
        "first_name": "GRZEGORZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "222249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02420299",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.