JACOB MARK CZAJKA (NPI# 1659929123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659929123 |
| Entity Type | Individual |
| Full Name | JACOB MARK CZAJKA |
| Credential | PA-C |
| Practice Address |
130 E 77th St Fl Hall11 New York NY 10075-1851 |
| Mailing Address |
326 E 82nd St Apt 3a New York NY 10028-4115 |
| Practice Telephone | 2124343959 |
| Mailing Telephone | 2695353815 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | C200356585308 | 01 |
| MI | MICHIGAN STATE LICENSE | C200356585308 | 01 |
| Street Address |
130 E 77TH ST FL HALL11 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1861041840 | Gabriella Fluss | Physician Assistant | 268 W 84th St Apt 6c, New York, NY 10024-4362 | 2019-09-11 |
| 1033766860 | Deena Rothman | Physician Assistant | 1090 Amsterdam Ave Ste 10a, New York, NY 10025-1737 | 2019-08-26 |
| 1730698747 | Nolle L Graham | Physician Assistant | East 101 Street, New York, NY 10029 | 2017-09-21 |
| 1629594494 | Emma Ungureanu | Physician Assistant | 1790 Broadway/ 5 Columbus Circle, Fl 8, New York, NY 10019-1412 | 2017-08-14 |
| 1881117141 | Kaitlin Anne Tergesen | Physician Assistant | 3959 Broadway # Chn216, New York, NY 10032-1559 | 2017-07-19 |
| 1356879217 | Andreina Armas | Physician Assistant | E 101st Street, Mount Sinai, New York, NY 10029 | 2017-05-23 |
| 1093189870 | Amanda Londino | Physician Assistant | 568 Park Avenue, New York, NY 10068 | 2015-11-17 |
| 1437521549 | Heather Sorrentino | Physician Assistant | 105 Haven Ave Apt 3d, New York, NY 10032-2708 | 2015-10-28 |
| 1285006924 | Christopher Costea | Physician Assistant | 317 E 17th St # 11, New York, NY 10003-3804 | 2015-10-21 |
| Find all providers in NEW YORK | ||||
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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.