Malka Tziporah Widofsky, LAC

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

Last updated

Aug 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

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.

• R&B Wellness, LLC

  dba Blue Heron Wellness

  • Acupuncturist
  • Silver Spring, MD
  • NPI 1053646083
  NPD (past)

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": []
}

• Whole Body Concepts, Inc.
• Wholesome Minds, LLC.
• Wholistic Family Healthcare, Inc.
• Mary Boylen Wichansky, LCSW-C
• Dianne Patricia Wicklein Joyce
• Serena Wieder, PH.D.
• Renee Wiggins, RD.LD
• Emily Jane Wigglesworth, LPC, LCPC
• Shannon Wilcox
• Wildflower Therapy, LLC

• Acupuncturist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Acupuncturist in Maryland

• 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.