Magdalena Balkiewicz, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

23-014581 Issued in NY

Practice address

7901 Broadway
Elmhurst, NY 11373-1329

Phone

(718) 334-2475

NPI assigned

Jun 15, 2011

Sex

Female

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

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1114212453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 3RD ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571324",
            "telephone_number": "631-978-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKIEWICZ",
        "first_name": "MAGDALENA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "23-014581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Maria Baker, CPHT
• Nazifa Bakhtari, PA
• Bibi Fameeza Baksh, OT
• Bernadette D Balde-Doran, NP
• Ariel Bales-Kogan, DMD
• Alice Ballesteros Gomez, O.D.
• Adriane Clark Salazar Ballesteros, PTA
• Dimitrios Anargyros Bampatsias, MD
• Dorit Bamshad, PA-C
• Yoomi Ban

• Surgical Physician Assistant in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.