DR. DAVID SOLOWIEJCZYK M.D. NPI 1073582367
Pediatrics - Pediatric Cardiology in Paramus, NJ
About DR. DAVID SOLOWIEJCZYK M.D.
David Solowiejczyk is a pediatrician established in Paramus, New Jersey and his medical specialization is Pediatrics with a focus in pediatric cardiology with more than 37 years of experience. He graduated from New York University School Of Medicine in 1986. The NPI number of this provider is 1073582367 and was assigned on March 2006. The practitioner's primary taxonomy code is 2080P0202X with license number MA079362 (NJ). The provider is registered as an individual and his NPI record was last updated 16 years ago.
| NPI | 1073582367 |
| Provider Name | DR. DAVID SOLOWIEJCZYK M.D. |
| Location Address | 205 ROBIN RD SUITE 100 PARAMUS, NJ 07652 |
| Location Phone | (201) 599-0026 |
| Mailing Address | 205 ROBIN RD SUITE 100 PARAMUS, NJ 07652 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 03-17-2006 |
| Last Update Date | 07-08-2007 |
A pediatrician like David Solowiejczyk is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.David Solowiejczyk is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
David Solowiejczyk is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.02, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 2080P0202X |
| Classification | Pediatrics |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Pediatric Cardiology |
| License No. | MA079362 |
| License State | NJ |
| Taxonomy Description | A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
205 ROBIN RD
SUITE 100
PARAMUS, NJ
ZIP 07652
Phone: (201) 599-0026
Fax: (201) 986-1160
Mailing Address
205 ROBIN RD
SUITE 100
PARAMUS, NJ
ZIP 07652
Phone: (201) 599-0026
Fax: (201) 986-1160
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 8628108990 |
| PECOS Enrollment ID | I20100612000018 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 92.04 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 100 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 96.02 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 2080P0202X | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Cardiology | 1719281 | NY | No |
Taxonomy Description: a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| F67418 | MEDICARE UPIN (02) | NY |
| 5999502 | MEDICAID (05) | NJ |
| 83H141 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY |
| 14330244 | MEDICAID (05) | NY |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 5 | 8 | 2 | 3 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 10 | 8 | 4 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 0 + 8 + 4 + 3 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1073582367 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538113568 | ROMELLAH SUNICO RPT Individual | Physical Therapist | 205 ROBIN RD SUITE 118 PARAMUS, NJ 07652 (201) 225-1511 |
| 1194779025 | SYLVIA CIFELLI RPT Individual | Physical Therapist | 205 ROBIN RD SUITE 118 PARAMUS, NJ 07652 (201) 225-1511 |
| 1730122243 | NILA DESAI RPT Individual | Physical Therapist | 205 ROBIN RD SUITE 118 PARAMUS, NJ 07652 (201) 225-1511 |
| 1124178991 | PATRICIA U. VERDOTE Individual | Physical Therapist | 205 ROBIN RD SUITE 118 PARAMUS, NJ 07652 (201) 225-1511 |
| 1356512073 | DR. SONIA ADELAIDE MARQUES D.C. Individual | Chiropractor | 205 ROBIN RD SUITE 118 PARAMUS, NJ 07652 (201) 225-1511 |
| 1275792558 | MARISSA SERVELLO DPT Individual | Physical Therapist | 205 ROBIN RD PARAMUS, NJ 07652 (201) 225-1511 |
| 1578719514 | MR. MATTHEW JOHN MCCABE LAC Individual | Acupuncturist | 205 ROBIN RD SUITE 118 PARAMUS, NJ 07652 (201) 225-1511 |
| 1902058910 | MRS. KIMBERLY LYNN POWER CMT Individual | Massage Therapist | 205 ROBIN RD SUITE 118 PARAMUS, NJ 07652 (201) 225-1511 |
| 1578716197 | MS. KRISTY D YECK NCMT Individual | Massage Therapist | 205 ROBIN RD SUITE 118 PARAMUS, NJ 07652 (201) 225-1511 |
| 1962647818 | MISS KATRINA A FINEBERG Individual | Massage Therapist | 205 ROBIN RD PARAMUS, NJ 07652 (201) 225-1511 |
| 1982841300 | MS. AMY KATHLEEN MCANDREWS Individual | Massage Therapist | 205 ROBIN RD SUITE 118 PARAMUS, NJ 07652 (201) 225-1511 |
| 1134361181 | PARAMUS MEDICAL AND SPORTS REHABILITATION CENTER Organization | Clinic/Center (Rehabilitation) | 205 ROBIN RD PARAMUS, NJ 07652 (201) 225-1511 |
| 1619104494 | MS. LORI A MCLEAN MT Individual | Massage Therapist | 205 ROBIN RD PARAMUS, NJ 07652 (201) 225-9727 |
| 1194953299 | KIMBERLY L CONK Individual | Massage Therapist | 205 ROBIN RD SUITE 118 PARAMUS, NJ 07652 (201) 225-1511 |
| 1841523107 | MISS JESSICA LYNN MULLAN LMT Individual | Massage Therapist | 205 ROBIN RD PARAMUS, NJ 07652 (201) 225-1511 |
| 1134441116 | MS. MARIA A ALONSO MT Individual | Massage Therapist | 205 ROBIN RD PARAMUS, NJ 07652 (201) 225-1511 |
| 1689982928 | MRS. LILIAM PATERNINA LMT Individual | Massage Therapist | 205 ROBIN RD SUITE 118 PARAMUS, NJ 07652 (201) 225-1511 |
| 1629370986 | BRIANNE POLACK LMT Individual | Massage Therapist | 205 ROBIN RD SUITE 118 PARAMUS, NJ 07652 (201) 225-1511 |
| 1831495217 | MS. PAOLA RIOS C.M.T Individual | Massage Therapist | 205 ROBIN RD PARAMUS, NJ 07652 (201) 225-2011 |
| 1275830549 | MARCIA PENHA Individual | Massage Therapist | 205 ROBIN RD SUITE 118 PARAMUS, NJ 07652 (201) 225-1511 |
Frequently Asked Questions
What is Dr. David Solowiejczyk M.D. NPI number?
The NPI number assigned to this healthcare provider is 1073582367, registered as an "individual" on March 17, 2006
Where is Dr. David Solowiejczyk M.D. located?
The provider is located at 205 Robin Rd Suite 100 Paramus, Nj 07652 and the phone number is (201) 599-0026
Which is Dr. David Solowiejczyk M.D. specialty?
The provider's speciality is Pediatrics with a focus in Pediatric Cardiology
How many years of experience does Dr. David Solowiejczyk M.D. have?
The provider has more than 37 years of experience. He graduated from New York University School Of Medicine in 1986.
What insurance does Dr. David Solowiejczyk M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. David Solowiejczyk M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Dr. David Solowiejczyk M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
How do I update my NPI information?
The NPI record of Dr. David Solowiejczyk M.D. was last updated on March 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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