Individual provider Active NPI

Dan Marcinkiewicz Jr., RRT-NPS

  • Neonatal/Pediatric Registered Respiratory Therapist
  • Tampa, FL
National Provider Identifier
1891163655
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal/Pediatric Registered Respiratory TherapistTaxonomy code 2279P3900X
License
RT8382 Issued in FL
Practice address
4200 W Cypress St
Suite 630
Tampa, FL 33607-4156
Phone
(866) 990-8880
NPI assigned
Sep 10, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal/Pediatric Registered Respiratory Therapist 2279P3900X RT8382 FL Primary

Addresses

Primary practice location

4200 W Cypress St
Suite 630
Tampa, FL 33607-4156

Mailing address

4200 W Cypress St
Suite 630
Tampa, FL 33607-4156

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
RT8382FLMDNeonatal/Pediatric Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1891163655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W CYPRESS ST",
            "address_2": "SUITE 630",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W CYPRESS ST",
            "address_2": "SUITE 630",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074156",
            "telephone_number": "866-990-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINKIEWICZ",
        "first_name": "DAN",
        "name_suffix": "Jr.",
        "credential": "RRT-NPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "FL",
            "license": "RT8382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.