STEPHEN CZUMAK


Address: 30 Harrison St Ste 460, Johnson City, NY 13790-2176
Phone: 6077638101

STEPHEN CZUMAK (NPI# 1598325292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598325292
Entity Type Individual
Full Name STEPHEN CZUMAK
Credential NP
Practice Address 30 Harrison St Ste 460
Johnson City
NY 13790-2176
Mailing Address 33 Lewis Rd
2nd Fl
Binghamton
NY 13905
Practice Telephone 6077638101
Practice Fax Number 6077638049
Mailing Telephone 6077298156
Mailing Fax Number 6077293982
Enumeration Date 2019-06-17
Last Update Date 2019-10-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 345105 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 30 HARRISON ST STE 460
City JOHNSON CITY
State NY
Zip Code 13790-2176

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164408712 Christopher Devon Williamson Physician Assistant 30 Harrison St Ste 460, Johnson City, NY 13790 2005-12-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578107645 Thomas William Sorber Occupational Therapist 33 Harrison St, Johnson City, Johnson City, NY 13790 2019-11-01
1326534116 Silver Linings Golden Memory Care Clinic/Center 4416 Watson Blvd, Johnson City, NY 13790 2018-07-05
1508308545 Irene Mukeli Nzasi Registered Nurse 156 Corliss Ave Suite 107, Johnson City, NY 13790 2016-11-08
1053867754 Tabitha Rae Toman Physical Therapist 34 Harrison St, Johnson City, NY 13790 2016-09-01
1235685066 Dianne Brunner Physical Therapist 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 2016-08-31
1578982682 Tracy Lynn Brown Optometrist 223 Reynolds Road, Johnson City, NY 13790 2014-04-16
1083041495 Maryann Serbonich Pharmacist 52 Harrison Street, Johnson City, NY 13790 2013-09-30
1134464399 Kasey Connor Folger Speech-Language Pathologist 3 Laurel St., Johnson City, NY 13790 2012-11-29
1467797571 Bodyworks Physical Therapy LLC Clinic/Center 765 Harry L Drive, Johnson City, NY 13790 2012-11-29
1548518400 Melissa L Korosec Nurse Practitioner 30 Harrison St., Suite 250, Johnson City, NY 13790 2012-08-27
Find all providers in zip 13790

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205468923 Bobby Ray Nichols IIi Nurse Practitioner 2708 S Greenwood Dr, Johnson City, TN 37604-3260 2020-02-11
1932748829 Shape Shifters Weight Loss and Joint Center Nurse Practitioner 104 University Pkwy Ste 1, Johnson City, TN 37604-7349 2019-12-26
1205484920 Violetta Ward Nurse Practitioner 1505 Chickees St, Johnson City, TN 37604-7102 2019-08-27
1972077816 Betty Christian Kinser Nurse Practitioner 3135 Peoples St Ste 303, Johnson City, TN 37604-4130 2019-01-14
1912489261 Casey Lynn Davis Nurse Practitioner 208 Sunset Dr Ste 340, Johnson City, TN 37604-2521 2018-09-04
1356831101 Sheena L Tullock Nurse Practitioner 2428 Knob Creek Rd Ste 102, Johnson City, TN 37604-2396 2018-05-17
1093212516 Brandy Michelle Story Nurse Practitioner 1321 Sunset Dr Ste 11, Johnson City, TN 37604-7902 2018-04-11
1265959316 Ashley Gross Nurse Practitioner 411 Princeton Rd Ste 101, Johnson City, TN 37601-2049 2017-08-29
1114454857 Janet Gar Nurse Practitioner 1319 Bell Ridge Rd Apt 703, Johnson City, TN 37601-8021 2017-05-12
1720527674 Kristina Bagley Nurse Practitioner 101 Medtech Parkway, Suite 200, Johnson City, TN 37604-4007 2017-02-13
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 13790

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Dataset Information

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.

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