Urszula Barbara Pustelak, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

206187 Issued in NY

Practice address

223 Calyer Street
Urszula Pustelak M.D.
Brooklyn, NY 11222-2730

Phone

(718) 349-6434

Fax

(718) 349-6434

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1992860936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 CALYER STREET",
            "address_2": "URSZULA PUSTELAK M.D.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222730",
            "telephone_number": "718-349-6434",
            "fax_number": "718-349-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 CALYER STREET",
            "address_2": "URSZULA PUSTELAK M.D.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222730",
            "telephone_number": "718-349-6434",
            "fax_number": "718-349-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSTELAK",
        "first_name": "URSZULA",
        "middle_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "206187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01775231",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marine Pascale Putman

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.