Individual provider Active NPI

Henryk Prusaczyk, MD

  • Anesthesiology Physician
  • Latham, NY
National Provider Identifier
1942200894
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
194956 Issued in NY
Practice address
1072 Troy Schenectady Rd
New England Laser and Cosmetic Surgery Center
Latham, NY 12110-1025
Phone
(518) 783-0035
Fax
(518) 786-1160
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 194956 NY Primary

Addresses

Primary practice location

1072 Troy Schenectady Rd
New England Laser and Cosmetic Surgery Center
Latham, NY 12110-1025

Mailing address

PO Box 11716
Albany, NY 12211-0716
Phone (518) 783-0035

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942200894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11716",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122110716",
            "telephone_number": "518-783-0035",
            "fax_number": "518-786-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 TROY SCHENECTADY RD",
            "address_2": "NEW ENGLAND LASER AND COSMETIC SURGERY CENTER",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101025",
            "telephone_number": "518-783-0035",
            "fax_number": "518-786-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSACZYK",
        "first_name": "HENRYK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "194956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.