Organization Active NPI

Denise Szczucki, M.D., PLLC

  • Psychiatry Physician
  • White Plains, NY
National Provider Identifier
1982613410
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
177098 Issued in NY
Legal business name
DENISE SZCZUCKI, M.D., PLLC
Practice address
333 Mamaroneck Ave
Suite 204
White Plains, NY 10605-1440
Phone
(914) 588-2205
NPI assigned
Aug 5, 2006
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. Denise Szczucki, M.D.NPI 1962520304
Title
Manager
Phone
(914) 588-2205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 177098 NY Primary

Addresses

Primary practice location

333 Mamaroneck Ave
Suite 204
White Plains, NY 10605-1440

Mailing address

333 Mamaroneck Ave
Suite 204
White Plains, NY 10605-1440
Phone (914) 588-2205

Other identifiers 1

IdentifierTypeStateIssuer
177098OtherNYSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070816000109 NY Part B Supplier - Clinic/Group Practice 8628160918 Receives reassigned benefits from 1 practitioner
Practice locations: White Plains, NY

National Provider Directory

National Provider Directory

Locations

171 E Post Rd
Ste 304
White Plains, NY 10601
Phone (914) 588-2205

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1982613410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MAMARONECK AVE",
            "address_2": "SUITE 204",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051440",
            "telephone_number": "914-588-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAMARONECK AVE",
            "address_2": "SUITE 204",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051440",
            "telephone_number": "914-588-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE SZCZUCKI, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "SZCZUCKI",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-588-2205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "177098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "177098",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.