Provider Type Icon

DR. ANDRZEJ KUDELKA M.D. NPI 1003910209


NPI Information

NPI: 1003910209
Provider Name: DR. ANDRZEJ KUDELKA, M.D.
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

Organization: HILO MEDICAL CENTER

PECOS Registration: Yes

Address:
3 PELLEGRINO RD
Z8151
STONY BROOK, NY
ZIP 11794
Phone: (631) 638-0910
Get Directions

DR. Andrzej Kudelka, M.D. is a medical oncology internal medicine in Stony Brook, NY with 42 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. DR. Andrzej Kudelka, M.D. NPI is 1003910209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3 PELLEGRINO RD
Z8151
STONY BROOK, NY
ZIP 11794-151
Phone: (631) 638-0910
Fax: (631) 638-0195

The NPI 1003910209 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 6/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208M00000XHospitalist240693NEW YORKNo
2207RX0202XInternal MedicineMedical Oncology240693NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.