Individual provider Active NPI

Wojciech Skrzypiec, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Staten Island, NY
National Provider Identifier
1861476715
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
191990 Issued in NY
Practice address
235 Dongan Hills Ave
Suite 2E
Staten Island, NY 10305-1246
Phone
(718) 667-7756
Fax
(718) 667-7757
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 191990 NY Primary
Pulmonary Disease Physician 207RP1001X 191990 NY
Internal Medicine Physician 207R00000X 191990 NY

Addresses

Primary practice location

235 Dongan Hills Ave
Suite 2E
Staten Island, NY 10305-1246

Mailing address

235 Dongan Hills Ave
Suite 2E
Staten Island, NY 10305-1246
Phone (718) 667-7756

Other identifiers 1

IdentifierTypeStateIssuer
01548094MedicaidNY

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
I20070212000649 NY Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0648272179 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191990NYMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital, PC CurrentSince Oct 1, 2010 Accepting new patients
Physicians of University Hospital, PC Internal Medicine CurrentSince Oct 1, 2010 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Tarkhanov Medical P.C. PastSince Nov 15, 2006 Accepting new patients
Staten Island Medical Intensivist PC Internal Medicine Past Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: wskrzypiec@wsm-ny.direct.office.nextgen.com
  • Direct secure messaging: wojciechskrzypiec@mpa.allscriptsdirect.net

Organizations & group practices 5

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1861476715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 DONGAN HILLS AVE",
            "address_2": "SUITE 2E",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051246",
            "telephone_number": "718-667-7756",
            "fax_number": "718-667-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 DONGAN HILLS AVE",
            "address_2": "SUITE 2E",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051246",
            "telephone_number": "718-667-7756",
            "fax_number": "718-667-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRZYPIEC",
        "first_name": "WOJCIECH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "191990",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "191990",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "191990",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01548094",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.