Active NPI
Wojciech Skrzypiec, MD
- Critical Care Medicine (Internal Medicine) Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 191990
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01548094 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191990 | NY | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Internal Medicine | Current | Accepting new patients |
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Tarkhanov Medical P.C. | Past | 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
- wskrzypiec@wsm-ny.direct.office.nextgen.com
- 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
- Pulmonary Disease Physician
- Staten Island, NY
- NPI 1275564841
Internal Medicine
-
- Primary Care Clinic/Center
- Staten Island, NY
- NPI 1508308743
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.