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EVA DZIERGOWSKA PMHNP
NPI 1194337253
Nurse Practitioner - Psychiatric/Mental Health in Smithtown, NY

Active since August 20, 2020PECOS Enrolled
363 ROUTE 111, SMITHTOWN, NY 11787(631) 209-4255 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2020, Aug 20, 2020 (2 updates tracked since 2020).

About Eva Dziergowska Pmhnp NPPES

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

EVA DZIERGOWSKA PMHNP (NPI 1194337253) is an individual psychiatric/mental health provider in Smithtown, New York, licensed in New York (403157) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194337253
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEVA DZIERGOWSKACredential: PMHNP
Location Address363 ROUTE 111Smithtown, NY 11787-4756
Mailing Address363 Route 111Smithtown, NY 11787-4756
Phone(631) 209-4255
Sole ProprietorNo
Enumeration DateAugust 20, 2020
Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
✔ NPI 1194337253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403157
363 ROUTE 111, Smithtown, NY 11787
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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)

Eva Dziergowska Pmhnp 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 11787 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

NEW HEALTH MEDICAL
Specialist/Technologist Cardiovascular (Sonography)
363 ROUTE 111, SUITE 98
SMITHTOWN, NY 11787
Suffolk County (631) 979-8000
MRS. ILENE A BRICKLEY LMSW
Social Worker
363 ROUTE 111, SUITE 103
SMITHTOWN, NY 11787
Suffolk County (631) 265-3133
MS. PAMELA S. TRIFARO LCSW-R
Social Worker (Clinical)
363 ROUTE 111, SUITE 103
SMITHTOWN, NY 11787
Suffolk County (631) 834-4724
MRS. JENNIFER ANNE GRELLA APRN,BC
Nurse Practitioner (Adult Health)
363 ROUTE 111, SUITE 101
SMITHTOWN, NY 11787
Suffolk County (631) 724-8075
MATTHEW D GEE, LCSW, PHD, LLC
Social Worker
363 ROUTE 111, SUITE 103
SMITHTOWN, NY 11787
Suffolk County (631) 335-8744
MISS SUZANNE M DILULLO LCSW
Social Worker (Clinical)
363 ROUTE 111, SUITE 103
SMITHTOWN, NY 11787
Suffolk County (631) 398-3883
OSTEO RELIEF OF LONG ISLAND PC
Physical Medicine & Rehabilitation (Pain Medicine)
363 ROUTE 111, SUITE 107
SMITHTOWN, NY 11787
Suffolk County (631) 656-5544
LCSW COUNSELING & PSYCHOTHERAPY
Social Worker (Clinical)
363 ROUTE 111, SUITE 103
SMITHTOWN, NY 11787
Suffolk County (631) 265-3133

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 Eva Dziergowska's NPI number?

The NPI number for Eva Dziergowska is 1194337253. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Eva Dziergowska located?

Eva Dziergowska practices at 363 Route 111, Smithtown, NY 11787. The listed phone number is (631) 209-4255.

What is Eva Dziergowska's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Eva Dziergowska enrolled in Medicare?

Yes. Eva Dziergowska is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eva Dziergowska was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.