Individual provider Active NPI

Malka Tziporah Widofsky, LAC

  • Acupuncturist
  • Silver Spring, MD
National Provider Identifier
1164035895
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02759 Issued in MD
Practice address
10723 Columbia Pike Ste B
Silver Spring, MD 20901-4445
Phone
(301) 754-3730
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02759 MD Primary

Addresses

Primary practice location

10723 Columbia Pike Ste B
Silver Spring, MD 20901-4445

Mailing address

11216 Prelude CT
Silver Spring, MD 20901-5057
Phone (908) 875-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
U02759MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
R&B Wellness, LLC Acupuncturist PastSince Aug 30, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1164035895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11216 PRELUDE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209015057",
            "telephone_number": "908-875-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10723 COLUMBIA PIKE STE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014445",
            "telephone_number": "301-754-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDOFSKY",
        "first_name": "MALKA",
        "middle_name": "TZIPORAH",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.