JUSTIN DZIERZAWSKI MD
NPI 1982237608
Student in an Organized Health Care Education/Training Program in Pontiac, MI

Q: What is Justin Dzierzawski's NPI number?

The NPI number for Justin Dzierzawski is 1982237608. It was assigned to this individual provider in the NPPES registry on February 20, 2020.

Q: What is Justin Dzierzawski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since February 20, 2020PECOS Enrolled

44405 WOODWARD AVE # H23, PONTIAC, MI 48341(248) 858-3235 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 7, 2021, Feb 20, 2020 (2 updates tracked since 2020).

On this page

About Justin Dzierzawski Md NPPES

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

JUSTIN DZIERZAWSKI MD (NPI 1982237608) is an individual student in an organized health care education/training program in Pontiac, Michigan and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982237608

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJUSTIN DZIERZAWSKICredential: MD

Location Address44405 WOODWARD AVE # H23Pontiac, MI 48341-5023

Mailing Address1441 Clifton Rd NeAtlanta, GA 30322-1004 · (248) 410-1020

Phone(248) 858-3235

Sole ProprietorNo

Enumeration DateFebruary 20, 2020

Last NPPES UpdateJune 30, 20222 updates tracked since enumeration

NPPES CertifiedJune 30, 2022

✔ NPI 1982237608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

44405 WOODWARD AVE # H23, Pontiac, MI 48341

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Dzierzawski 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.

Other Providers at the Same Location NPPES 12

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

LAUREN ELIZABETH RINCON MD

Surgery