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DR. MARY LYNN NIERODZIK MD
NPI 1164559050
Internal Medicine - Hematology & Oncology in Brooklyn, NY

Active since February 27, 2007PECOS Enrolled
760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTER, BROOKLYN, NY 11206(718) 963-8000(718) 630-3122 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Lynn Nierodzik Md NPPES

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

DR. MARY LYNN NIERODZIK MD (NPI 1164559050) is an individual hematology & oncology provider in Brooklyn, New York, licensed in New York (162305) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164559050
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MARY LYNN NIERODZIKCredential: MD
Location Address760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTERBrooklyn, NY 11206
Mailing Address760 Broadway Woodhull Medical & Mental Health Center, Department Of Managed Care Room 2b230Brooklyn, NY 11206 · (718) 963-8000 · Fax (718) 630-3122
Phone(718) 963-8000
Fax(718) 630-3122
Sole ProprietorYes
Enumeration DateFebruary 27, 2007
Last NPPES UpdateNovember 27, 2012
✔ NPI 1164559050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NY · 162305
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
760 BROADWAY, Brooklyn, NY 11206
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Lynn Nierodzik Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MIRIAM Y LITVINTCHOUK PA
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHAZA MOHAMMED ELHASSAN
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8430
MS. ABENA BANFUL
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHUJA AHMED SHAIK M.D.
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8779
DR. GERALDINE ORENDAIN M.D.
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Kings County (718) 963-5793
MR. GUY KELLY P.A.
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
MRS. VIRGINIA J PRYCE N.P.
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
DR. ROGER GRANNUM DDS
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Kings County (718) 963-8000

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 Mary Lynn Nierodzik's NPI number?

The NPI number for Mary Lynn Nierodzik is 1164559050. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Mary Lynn Nierodzik located?

Mary Lynn Nierodzik practices at 760 Broadway Woodhull Medical & Mental Health Center, Brooklyn, NY 11206. The listed phone number is (718) 963-8000.

What is Mary Lynn Nierodzik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mary Lynn Nierodzik enrolled in Medicare?

Yes. Mary Lynn Nierodzik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Lynn Nierodzik was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.