Individual provider Active NPI

Richard Henry Jozkowski, MD

  • Ophthalmology Physician
  • Whitestone, NY
National Provider Identifier
1831203413
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
158956 Issued in NY
Practice address
15012 14TH Ave
Whitestone, NY 11357-1800
Phone
(718) 767-4631
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

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
Ophthalmology Physician 207W00000X 158956 NY Primary

Addresses

Primary practice location

15012 14TH Ave
Whitestone, NY 11357-1800

Mailing address

15012 14TH Ave
Whitestone, NY 11357-1800
Phone (718) 767-4631

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
I20100109000393 NY Practitioner - Ophthalmology 4486795648 Practice locations: New York, NY; Whitestone, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 -12
Whitestone, NY 11357

150 -12
Whitestone, NY 11357-4147

15012 14TH Ave
Whitestone, NY 11357-1800

15012 14TH Ave
Whitestone, NY 11357-4147
Phone (718) 767-4631

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158956NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pension Committee Joint Industry Board Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831203413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 14TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571800",
            "telephone_number": "718-767-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15012 14TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571800",
            "telephone_number": "718-767-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOZKOWSKI",
        "first_name": "RICHARD",
        "middle_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "158956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

Verify at the official NPI Registry.