Individual provider Active NPI

Dariusz Chrostowski, M.D.

  • Allergy Physician
  • Watertown, NY
National Provider Identifier
1922100247
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
237708 Issued in NY
Practice address
19316 US Route 11
Building IV, Suite C
Watertown, NY 13601-5337
Phone
(315) 681-4192
NPI assigned
Sep 5, 2006
Last updated
Mar 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 237708 NY Primary

Addresses

Primary practice location

19316 US Route 11
Building IV, Suite C
Watertown, NY 13601-5337

Mailing address

19316 US Route 11
Building IV, Suite C
Watertown, NY 13601-5337

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
I20060127000563 NY Practitioner - Allergy/Immunology 5597733477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Asthma and Allergy of Nny PLLCGroup PAC ID 6507053592, 2 clinicians

Practice addresses (Care Compare)

19316 US Route 11
Watertown, NY 13601-6735
Phone (315) 681-4192

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237708NYMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Asthma and Allergy of Nny, PLLC CurrentSince Sep 2, 2010 Accepting new patients
Asthma & Allergy Associates P.C. Allergy PastSince Mar 24, 2024 Accepting new patients
Murphy Medical Center, Inc. Past Accepting new patients

Locations

19316 US Route 11
Watertown, NY 13601
Phone (315) 681-4192

19316 US Route 11
Bldg Iv
Watertown, NY 13601
Phone (315) 681-4192

19316 US Route 11
Ste C
Watertown, NY 13601
Phone (315) 681-4192

Interoperability endpoints

  • Direct secure messaging: dchrostowski@hiemail.healtheconnections.org
  • Direct secure messaging: drdchrostowski@advallergy.medentdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1922100247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19316 US ROUTE 11",
            "address_2": "BUILDING IV, SUITE C",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19316 US ROUTE 11",
            "address_2": "BUILDING IV, SUITE C",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015337",
            "telephone_number": "315-681-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHROSTOWSKI",
        "first_name": "DARIUSZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "237708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.