Individual provider Active NPI

Stanley J Wojnicki

  • Registered Nurse
  • New York, NY
National Provider Identifier
1881166205
Registry record updated May 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
685705-1 Issued in NY
Practice address
99 Wall St Ste 1982
New York, NY 10005-4301
Phone
(631) 624-7449
NPI assigned
Dec 24, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 685705 NY
Registered Nurse 163W00000X 685705-1 NY Primary

Addresses

Primary practice location

99 Wall St Ste 1982
New York, NY 10005-4301

Mailing address

28 Tamarack LN
Pomona, NY 10970-2011
Phone (845) 354-6954

Other practice location 1

230 N Main St
Spring Valley, NY 10977-4020
Phone (845) 363-8610

Other names 1

  • Mr. Stanley J Wojnicki Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
685705-1NYMDRegistered Nurse
685705NYMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Letapel Inc. CurrentSince Mar 20, 2022 Accepting new patients

Locations

99 Wall St
Ste 1982
New York, NY 10005
Phone (631) 624-7449

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": "1545609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620518400000",
    "number": "1881166205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 TAMARACK LN",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702011",
            "telephone_number": "845-354-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WALL ST STE 1982",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054301",
            "telephone_number": "631-624-7449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 N Main St",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "NY",
            "postal_code": "109774020",
            "country_code": "US",
            "telephone_number": "845-363-8610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOJNICKI",
        "first_name": "STANLEY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-24",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "685705",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "685705-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STANLEY",
            "last_name": "WOJNICKI",
            "middle_name": "J",
            "prefix": "MR.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; 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.