JERZY KOLACZYNSKI (NPI# 1376615625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376615625 |
| Entity Type | Individual |
| Full Name | JERZY KOLACZYNSKI |
| Practice Address |
125 Paterson St Clinical Academic Building - Suite 5100a New Brunswick NJ 08901-1962 |
| Mailing Address |
317 George St University Medical Group 3rd Floor New Brunswick NJ 08901-2008 |
| Practice Telephone | 7322357219 |
| Mailing Telephone | 7322358282 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2009-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MA71174 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7639201 | 05 |
| Street Address |
125 PATERSON ST CLINICAL ACADEMIC BUILDING - SUITE 5100A |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293881 | Stephen Wong | Family Medicine | 125 Paterson St, Suite 5100, New Brunswick, NJ 08901-1962 | 2005-08-25 |
| 1073121109 | Abdul Khayyam Mohammed | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-07-15 |
| 1639796709 | Sophia Rodriguez | Genetic Counselor, MS | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-07-06 |
| 1477179216 | Morgan Dunn | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-06-17 |
| 1568087419 | Devika Sachdev | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-06-16 |
| 1174148027 | Natalie M Dicenzo | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-06-16 |
| 1477172831 | Alain Kaldany | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-04-15 |
| 1548899396 | Abigail Brenda Bergman | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-04-03 |
| 1013545292 | Benjamin Horowitz | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-04-01 |
| 1356979520 | Jeremy Silver | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285770826 | Joanne Waldstreicher | Internal Medicine | 410 George St, Johnson & Johnson, New Brunswick, NJ 08901-2016 | 2007-01-30 |
| 1194811042 | Sunil J Wimalawansa | Internal Medicine | 125 Patterson Street, New Brunswick, NJ 08901 | 2006-10-05 |
| 1316982689 | Richard J Agrin | Internal Medicine | 137 Louis St, New Brunswick, NJ 08901-2207 | 2006-06-19 |
| 1902847767 | Manu V Chakravarthy | Internal Medicine | 1 Rwj Place, Meb 384, New Brunswick, NJ 08901 | 2006-06-10 |
| 1972969350 | Sima Patel | Internal Medicine | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2016-01-14 |
| 1710352554 | Hongxiu Luo | Internal Medicine | 254 Easton Ave, New Brunswick, NJ 08901 | 2015-12-04 |
| 1437449642 | Roopa Roy | Internal Medicine | 240 Easton Ave, New Brunswick, NJ 08901-1723 | 2011-04-10 |
| 1902103872 | Anupam Ohri | Internal Medicine | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2011-02-11 |
| 1720113616 | Rutgers Health-rwj Endocrinology | Internal Medicine | 125 Paterson St, Suite 5100a, New Brunswick, NJ 08901-1962 | 2007-02-22 |
| 1386707958 | Avedis Khachadurian | Internal Medicine | 125 Paterson St, Clinical Academic Building - Suite 5100a, New Brunswick, NJ 08901-1962 | 2006-12-18 |
| Find all providers in NEW BRUNSWICK | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.