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MICHAEL J PIETRUSIK DPM
NPI 1194901611
Durable Medical Equipment & Medical Supplies in Lackawanna, NY

Active since January 15, 2008
3277 S PARK AVE, LACKAWANNA, NY 14218(716) 822-3411 Get Directions Write a Review

NPPES record last updated: January 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael J Pietrusik Dpm NPPES

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

MICHAEL J PIETRUSIK DPM (NPI 1194901611) is a healthcare organization registered as a durable medical equipment & medical supplies in Lackawanna, New York and active in the NPI registry since January 2008. The organization lists Michael Pietrusik, Dpm, as its authorized official.

NPPES Registry Identity

NPI1194901611
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMICHAEL J PIETRUSIK DPM
Location Address3277 S PARK AVELackawanna, NY 14218-3527
Mailing Address3277 S Park AveLackawanna, NY 14218-3527 · (716) 822-3411
Phone(716) 822-3411
Organization SubpartNo
Authorized OfficialMichael PietrusikDpm · (716) 822-3411
Enumeration DateJanuary 15, 2008
✔ NPI 1194901611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in NY · N0036341
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
3277 S PARK AVE, Lackawanna, NY 14218
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Other Identifiers 4

Medicare PIN003721NY
Medicare NSC0588490001NY
Medicare UPINU00115NY
Medicaid00845978NY

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 Michael J Pietrusik Dpm's NPI number?

The NPI number for Michael J Pietrusik Dpm is 1194901611. It was assigned to this organization in the NPPES registry on January 15, 2008.

Where is Michael J Pietrusik Dpm located?

Michael J Pietrusik Dpm is located at 3277 S Park Ave, Lackawanna, NY 14218. The listed phone number is (716) 822-3411.

What is Michael J Pietrusik Dpm's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Michael J Pietrusik Dpm was last updated on January 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.