MR. ADAM SIUZDAK PA
NPI 1669940185
Physician Assistant in Staten Island, NY

Active since November 02, 2018PECOS Enrolled
4143 HYLAN BLVD, STATEN ISLAND, NY 10308(718) 233-1300 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2019, Nov 2, 2018 (2 updates tracked since 2018).

About Mr. Adam Siuzdak Pa NPPES

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

MR. ADAM SIUZDAK PA (NPI 1669940185) is an individual physician assistant in Staten Island, New York, licensed in New York (023515-1) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669940185
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ADAM SIUZDAKCredential: PA
Location Address4143 HYLAN BLVDStaten Island, NY 10308-3308
Mailing Address343 George StSouth Amboy, NJ 08879-1739 · (908) 217-6817
Sole ProprietorYes
Enumeration DateNovember 2, 2018
Last NPPES UpdateJuly 29, 20192 updates tracked since enumeration
NPI 1669940185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 023515-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4143 HYLAN BLVD, Staten Island, NY 10308

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Adam Siuzdak Pa 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 10308 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 6

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

Physician Assistant
4143 HYLAN BLVD
STATEN ISLAND, NY 10308
Specialist
4143 HYLAN BLVD
STATEN ISLAND, NY 10308
Physician Assistant (Surgical)
4143 HYLAN BLVD
STATEN ISLAND, NY 10308
Physician Assistant (Surgical)
4143 HYLAN BLVD
STATEN ISLAND, NY 10308
Physician Assistant
4143 HYLAN BLVD
STATEN ISLAND, NY 10308
Specialist
4143 HYLAN BLVD
STATEN ISLAND, NY 10308

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 Siuzdak's NPI number?

The NPI number for Adam Siuzdak is 1669940185. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Where is Adam Siuzdak located?

Adam Siuzdak practices at 4143 Hylan Blvd, Staten Island, NY 10308. The listed phone number is (718) 233-1300.

What is Adam Siuzdak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Adam Siuzdak enrolled in Medicare?

Yes. Adam Siuzdak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Siuzdak was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.