1588686174 NPI number — DR HELEN RYMASZEWSKI PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588686174 NPI number — DR HELEN RYMASZEWSKI PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR HELEN RYMASZEWSKI PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588686174
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2101 S OCEAN DR
Provider Second Line Business Mailing Address:
STE #LP2703
Provider Business Mailing Address City Name:
HOLLYWOOD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33019
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-929-0859
Provider Business Mailing Address Fax Number:
954-989-8812

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9900 STIRLING RD
Provider Second Line Business Practice Location Address:
SUITE 213
Provider Business Practice Location Address City Name:
HOLLYWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33024-8065
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-929-0859
Provider Business Practice Location Address Fax Number:
954-989-8812
Provider Enumeration Date:
07/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RYMASZEWSKI
Authorized Official First Name:
HELEN
Authorized Official Middle Name:
V
Authorized Official Title or Position:
LICENSED CLINICAL SOCIAL WORKER
Authorized Official Telephone Number:
954-929-0859

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SW4344 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: R0322941 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: Z7804 . This is a "BCBS FL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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