CUKIERSKI MEDICAL SERVICES, LLC — NPI 1740139708 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM in WILLIAMSVILLE, NY)

CMS-1500 Box 24J / 33a • NPI

1740139708

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

204D00000X (CMS 12)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM

Box 32 Service Location & ZIP+4

8604 MAIN ST STE 4, WILLIAMSVILLE, NY, 14221-7463

✓ 9-Digit EDI 837 ZIP+4 (14221-7463)

Practice Phone & Referral Fax

(716) 858-0243

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1740139708 (CUKIERSKI MEDICAL SERVICES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1740139708` (NPI-2 Organization / Facility)
Provider / Legal Name	CUKIERSKI MEDICAL SERVICES, LLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM NUCC Code: `204D00000X` (Neuromusculoskeletal Medicine & OMM)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	8604 MAIN ST STE 4, WILLIAMSVILLE, NY, 14221-7463
Practice Telephone / Fax	Tel: (716) 858-0243
Administrative Mailing Address	30 MIDWAY LN, ELMA, NY, 14059-9136
Enumeration & Last Sync	Enumerated: 2026-01-23 \| CMS Record Updated: 2026-01-23
Authorized Official	JACOB CUKIERSKI (Owner/CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

8604 MAIN ST STE 4, WILLIAMSVILLE, NY, 14221-7463

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Plain-English Taxonomy & CMS Crosswalk (204D00000X)

What Does Taxonomy Code 204D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 204D00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 12 (Physician/Osteopathic Manipulative Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Neuromusculoskeletal Medicine & OMM for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CUKIERSKI MEDICAL SERVICES, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207QS0010X` — Family Medicine, Sports Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`204D00000X` — Neuromusculoskeletal Medicine & OMM Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CUKIERSKI MEDICAL SERVICES, LLC (NPI #1740139708)