Individual provider Active NPI

Krzysztof Stanislaw Tunia, M.D.

  • Specialist
  • Garfield, NJ
National Provider Identifier
1922171065
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06844300 Issued in NJ
Practice address
54 Plauderville Ave
Suite # 1
Garfield, NJ 07026-2252
Phone
(973) 253-2065
Fax
(973) 253-2067
NPI assigned
Nov 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA06844300 NJ Primary

Addresses

Primary practice location

54 Plauderville Ave
Suite # 1
Garfield, NJ 07026-2252

Mailing address

54 Plauderville Ave
Suite # 1
Garfield, NJ 07026-2252
Phone (973) 253-2065

Other identifiers 1

IdentifierTypeStateIssuer
7801408MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220919001923 TN Practitioner - Internal Medicine 0749357507 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital Authority CurrentSince Aug 1, 2022 Accepting new patients

Locations

1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000

1919 Charlotte Ave
Nashville, TN 37203
Phone (615) 225-3700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b2cf1748-d074-4519-b006-042b74c78195/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922171065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PLAUDERVILLE AVE",
            "address_2": "SUITE # 1",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070262252",
            "telephone_number": "973-253-2065",
            "fax_number": "973-253-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 PLAUDERVILLE AVE",
            "address_2": "SUITE # 1",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070262252",
            "telephone_number": "973-253-2065",
            "fax_number": "973-253-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNIA",
        "first_name": "KRZYSZTOF",
        "middle_name": "STANISLAW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06844300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield, NJ

Sources for this page

Verify at the official NPI Registry.