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Gerald A Niedzwiecki MD PA

Vascular & Interventional Radiology Physician in Clearwater, FL · enumerated 2009 · authorized official Gerald Niedzwiecki, President/Shareholder.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639318637

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Registry record

Entity type Organization (Type 2)
Legal business name Gerald A Niedzwiecki MD PA
Practice address 2730 N Mcmullen Booth Rd, Suite 203, Clearwater, FL, 33761
Fax (727) 286-8933
Enumeration date Feb 13, 2009
Last updated in NPPES May 29, 2015

Taxonomy & classification

2085N0700X Neuroradiology Physician Allopathic & Osteopathic Physicians · License ME81474 (FL) Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License ME0070649 (FL) Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License ME81474 (FL) Secondary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians · License ME0070649 (FL) Primary
2085U0001X Diagnostic Ultrasound Physician Allopathic & Osteopathic Physicians · License ME0070649 (FL) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PAT9104325 (FL) Secondary

Authorized official

Name Gerald Niedzwiecki
Title President/Shareholder

Other identifiers

Identifier Type State Issuer
203364 Other FL AVMED
300123717 Other FL RAILROAD MEDICARE
31439 Other FL BCBS
4593565 Other FL AETNA PPO
1600774 Other FL UNITED HEALTHCARE
220039 Other FL AMERIGROUP
250195300 Medicaid FL -
2648373 Other FL AETNA HMO

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Gerald A Niedzwiecki MD PA?
Gerald A Niedzwiecki MD PA is registered in NPPES as a Vascular & Interventional Radiology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-29.