Mark Kaszczak Physician PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

178179 Issued in NY

Legal business name

MARK KASZCZAK PHYSICIAN PC

Practice address

69 Waring Place
Yonkers, NY 10703

Phone

(914) 969-1775

Fax

(914) 969-2415

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mark Andrew Kaszczak, MDNPI 1679857668

Title

MD

Phone

(914) 969-1775

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Kaszczak, MD

  • Pediatrics Physician
  • Yonkers, NY
  • NPI 1679857668
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1851474035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WARING PLACE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10703",
            "telephone_number": "914-969-1775",
            "fax_number": "914-969-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WARING PLACE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10703",
            "telephone_number": "914-969-1775",
            "fax_number": "914-969-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK KASZCZAK PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "KASZCZAK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "914-969-1775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "178179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01162665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mario Spagnuolo MDPC
• Marisol Castro-Pecoraro, Licensed Mental Health Counselor, PLLC
• Basem Marji
• Luay S Marji, MD
• Michael Suleiman Marji, MD
• Mark Sandigursky Internal Medicine, PLLC
• Flora Markaj, LMSW
• Fatushe Marke, M.S., CCC-SLP
• Loredana Markovitch, DDS
• Shay Markovitch, D.D.S

• Pediatrics Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.