Jeffrey Cizenski, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

296883 Issued in NY

Practice address

5823 Widewaters Pkwy Ste 4
East Syracuse, NY 13057-3081

Phone

(315) 500-7546

Fax

(315) 378-4210

NPI assigned

Jun 19, 2013

Last updated

Oct 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NY2 enrollments

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 2

Specialty

Dermatology

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empire Dermatology PLLCGroup PAC ID 9234417452, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.8 of 100Reported as group

Quality

70

Promoting interoperability

97

Improvement activities

40

Cost

71.84

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Empire Dermatology PLLC

  • MOHS-Micrographic Surgery Physician
  • East Syracuse, NY
  • NPI 1336698406

  Dermatology

  Medicare reassignment Care Compare group NPD
• Metroplex Dermatology, PLLC

  • Clinic/Center
  • Arlington, TX
  • NPI 1508196445
  Medicare reassignment NPD
• Imperium Healthcare Consulting LLC

  • Durable Medical Equipment & Medical Supplies
  • East Syracuse, NY
  • NPI 1184335887
  NPD

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1821437104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 WIDEWATERS PKWY STE 4",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130573081",
            "telephone_number": "315-500-7546",
            "fax_number": "315-378-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 WIDEWATERS PKWY STE 4",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130573081",
            "telephone_number": "315-500-7546",
            "fax_number": "315-378-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIZENSKI",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "296883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Christian, PT, DPT
• Peter J Christiano, M.D.
• David A Churchill, M.D.
• Kaelyn Elizabeth Cicco, RPA-C
• David Cinats
• Stephanie Anne Clapper, MD
• Clarity Clinical Research, LLC
• Jamison Lee Clark, OTR/L
• Shaniece Nichelle Clark
• Dale S Clemens

• Dermatology Physician in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.