Individual provider Active NPI

Jeffrey Kwasniewski, M.D.

  • Diagnostic Radiology Physician
  • Oneida, NY
National Provider Identifier
1972938900
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
271572-1 Issued in NY
Practice address
321 Genesee St
Oneida, NY 13421-2611
Phone
(315) 363-6000
NPI assigned
Sep 10, 2013
Last updated
Jan 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 271572-1 NY Primary

Addresses

Primary practice location

321 Genesee St
Oneida, NY 13421-2611

Mailing address

5078 Stop 7 Rd
Whitesboro, NY 13492-4014

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
I20140313001487 NY Practitioner - Diagnostic Radiology 1557591526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of Ny Upstate Medical University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of New Hartford LLPGroup PAC ID 6002807831, 21 clinicians
Cmi Professional ServicesGroup PAC ID 2466419718, 13 clinicians

Practice addresses (Care Compare)

106 Business Park Dr
Utica, NY 13502-6301
Phone (315) 624-5510

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-8150

120 Hobart St
Utica, NY 13501-4308
Phone (315) 798-1149

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7027

1656 Champlin Ave
Utica, NY 13502-4830
Phone (315) 646-6116

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 624-5567

201 E State St
Herkimer, NY 13350-2389
Phone (315) 574-2300

2150 Bleecker St
Utica, NY 13501-1738
Phone (315) 798-4850

2209 Genesee St
Utica, NY 13501-5930
Phone (315) 624-7333

601 State St
Utica, NY 13502-4208
Phone (315) 914-1100

7980 State Route 12
Barneveld, NY 13304-2536
Phone (315) 624-8440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271572-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of New Hartford LLP Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Cmi Professional Services CurrentSince Aug 1, 2015 Accepting new patients

Locations

1729 Burrstone Rd
New Hartford, NY 13413
Phone (315) 798-1500

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

107 Business Park Dr
Utica, NY 13502
Phone (315) 792-4666

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

185 Genesee St
Ste 600
Utica, NY 13501
Phone (315) 793-5506

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Interoperability endpoints

  • Direct secure messaging: jkwasniewski14099@mvhealthsystem.direct-ci.com

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.

Hospital & facility affiliations 11

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1972938900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5078 STOP 7 RD",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134924014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212611",
            "telephone_number": "315-363-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWASNIEWSKI",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-10",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "271572-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.