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DR. BENJAMIN WESLEY KOZYAK MD NPI 1043470016


NPI Information

NPI: 1043470016
Provider Name: DR. BENJAMIN WESLEY KOZYAK, MD
Classification: Pediatrics - 2080P0203X
Entity Type: Individual

Specialization: Pediatric Critical Care Medicine

Organization: CHILDRENS ANESTHESIOLOGY ASSOCIATES LTD

PECOS Registration: Yes

Address:
3401 CIVIC CENTER BLVD
DIV OF CARDIAC CRITICAL CARE - 6NE40
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-1190
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DR. Benjamin Wesley Kozyak, MD is a pediatric critical care medicine pediatrics in Philadelphia, PA with 16 years of experience. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. DR. Benjamin Wesley Kozyak, MD NPI is 1043470016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:2008

The provider's business location address is:

3401 CIVIC CENTER BLVD
DIV OF CARDIAC CRITICAL CARE - 6NE40
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-1190

The NPI 1043470016 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 6/13/2008 and was last updated on 2/15/2017.


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
12080P0202XPediatricsPediatric CardiologyMD458499PENNSYLVANIANo
22080P0203XPediatricsPediatric Critical Care MedicineMD458499PENNSYLVANIAYes

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.