SUSAN C RAJCZAK ANP NPI 1578563995

NPI Information

NPI: 1578563995
Provider Name: SUSAN C RAJCZAK, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: GENERAL PHYSICIAN PC

PECOS Registration: Yes

Address:
550 ORCHARD PARK RD
A103
WEST SENECA, NY
ZIP 14224
Phone: (716) 677-5500
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Susan C Rajczak, ANP is an adult health nurse practitioner in West Seneca, NY with 26 years of experience. Susan C Rajczak, ANP NPI is 1578563995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

550 ORCHARD PARK RD
A103
WEST SENECA, NY
ZIP 14224-646
Phone: (716) 677-5500
Fax: (716) 677-5008

The NPI 1578563995 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 7/28/2005 and was last updated on 12/11/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	F302131	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5711686	OTHER	NEW YORK	AETNA
2	000560315001	OTHER	NEW YORK	BC/BS
3	S54072	MEDICARE UPIN	NEW YORK
4	040426001782	OTHER	NEW YORK	FIDELIS
5	BB0569	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
6	01857345	MEDICAID	NEW YORK

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

NPI Synchronization or Removal

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