Individual provider Active NPI

Thomas Robert Szwejkowski Jr., PA-C

  • Medical Physician Assistant
  • Parsippany, NJ
National Provider Identifier
1831342385
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00244300 Issued in NJ
Practice address
3 Century Drive
Parsippany, NJ 07054
Phone
(973) 740-0607
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 012839-1 NY
Medical Physician Assistant 363AM0700X 25MP00244300 NJ Primary

Addresses

Primary practice location

3 Century Drive
Parsippany, NJ 07054

Mailing address

21-10 Carlisle Place
Fair Lawn, NJ 07410
Phone (860) 997-0309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160419000067 CT Practitioner - Physician Assistant 9032276100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Care, PCGroup PAC ID 5799758512, 7 clinicians

Practice addresses (Care Compare)

14 Business Park Dr
Branford, CT 06405-2909
Phone (203) 772-2499

174 Cherry St
Milford, CT 06460-3415
Phone (203) 772-2499

2447 Whitney Ave
Hamden, CT 06518-3211
Phone (203) 772-2499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3409CTMDClinical Psychologist
012839-1NYMDPediatric Occupational Therapist
012839NYMDSpeech-Language Pathologist
25MP00244300NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Sep 8, 2015 Accepting new patients
Middlesex Hospital CurrentSince Sep 8, 2015 Accepting new patients
Madison Avenue Emergency Medicine PC Past Accepting new patients
Middlesex Hospital Medical Past Accepting new patients
Hamden Sleep Disorders Center LLC Past Accepting new patients
Newark Beth Israel Emergency Medical Associates LLC Past Accepting new patients

Locations

12 Jones Hollow Rd
Marlborough, CT 06447
Phone (860) 358-3200

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

Organizations & group practices 7

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1831342385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21-10 CARLISLE PLACE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "860-997-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CENTURY DRIVE",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-740-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZWEJKOWSKI",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012839-1",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00244300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.