ADAM S BUDZIKOWSKI, PHYSICIAN PC
NPI 1104295112
Clinic/Center - Medical Specialty in Maspeth, NY

Active since September 20, 2015CLIA 33D2118657 · Waiver
5968 GRAND AVE, MASPETH, NY 11378(929) 252-9330 Get Directions Write a Review

NPPES record last updated: September 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam S Budzikowski, Physician Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM S BUDZIKOWSKI, PHYSICIAN PC (NPI 1104295112) is a healthcare organization registered as a medical specialty in Maspeth, New York and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through September 12, 2026 and lists Adam S Budzikowski, Owner, as its authorized official.

NPPES Registry Identity

NPI1104295112
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameADAM S BUDZIKOWSKI, PHYSICIAN PC
Location Address5968 GRAND AVEMaspeth, NY 11378-2733
Mailing Address288 Clove RdNew Rochelle, NY 10804-3506 · (914) 441-3081
Organization SubpartNo
Authorized OfficialAdam S BudzikowskiOwner · (914) 441-3081
Enumeration DateSeptember 20, 2015
NPI 1104295112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
5968 GRAND AVE, Maspeth, NY 11378

Other Identifiers 18

Other219902Emblem
Other219902-A18Health First
Other6C5402Healthnet
Other7260065Cigna
Medicaid02650493NY
Other1000059162Affinity
Other2124279United Healthcare
Medicare UPINH44839NY
Other1043411Amerigroup
Other219902-NY1199
Other0167125Ghi
Other219902-01Neighbourhood
Other070730000057Fidelis
Other070730000057Centercare
Other187119Elderplan
Other523610101Health Plus
OtherP3944259Oxford
Other1000059162Aetna

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2118657

Adam S Budzikowski, Physician, PC · Maspeth, NY
Active · expires Sep 12, 2026
CLIA Number33D2118657
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorDr. Adam S. Budzikowski
Laboratory Phone(929) 252-9330
Laboratory LocationAdam S Budzikowski, Physician, PC59-68 Grand Avenue, Maspeth, NY 11378
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
5968 GRAND AVE
MASPETH, NY 11378

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam S Budzikowski, Physician PC's NPI number?

The NPI number for Adam S Budzikowski, Physician PC is 1104295112. It was assigned to this organization in the NPPES registry on September 20, 2015.

Where is Adam S Budzikowski, Physician PC located?

Adam S Budzikowski, Physician PC is located at 5968 Grand Ave, Maspeth, NY 11378. The listed phone number is (929) 252-9330.

What is Adam S Budzikowski, Physician PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Adam S Budzikowski, Physician PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2118657) is associated with this NPI, valid through September 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Adam S Budzikowski, Physician PC was last updated on September 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.