Matthew Dzwonkiewicz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PAT9107048 Issued in FL

Practice address

21000 NE 28TH Ave
Suite 104
Aventura, FL 33180-1421

Phone

(305) 937-1999

NPI assigned

Jan 14, 2013

Last updated

Apr 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Med Diagnostic Rehab of South Florida Inc

  • Physical Therapist
  • Lighthouse Point, FL
  • NPI 1184655656
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1003153859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 NE 28TH AVE",
            "address_2": "SUITE 104",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801421",
            "telephone_number": "305-937-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 NE 28TH AVE",
            "address_2": "SUITE 104",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801421",
            "telephone_number": "305-937-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZWONKIEWICZ",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAT9107048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Dum, PHD
• Dumont Florida PLLC
• Amy Sue Dunetz, D.P.M.
• Circe Dunwoody, MSW
• Jenna R Dykstra
• E Gorin & E Hanabergh MD PA
• Julia E, DMD
• E. Gorin & E. Hanabergh, M.D., PA
• East Coast Hospitalist Physicians LLP
• Kristina L Eastman, MD

• Physician Assistant in Aventura, FL
• Providers in Aventura, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.