Individual provider Active NPI

Magdalena Lukaszewicz, PA-C

  • Surgical Physician Assistant
  • New Britain, CT
National Provider Identifier
1174877971
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
002834 Issued in CT
Practice address
23 Cedar St
New Britain, CT 06052-1301
Phone
(860) 229-8346
NPI assigned
Oct 31, 2012
Last updated
Oct 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 002834 CT Primary

Addresses

Primary practice location

23 Cedar St
New Britain, CT 06052-1301

Mailing address

1 Liberty SQ
New Britain, CT 06051-2636
Phone (860) 827-0071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200302001305 CT Practitioner - Physician Assistant 4981906096 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2834CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Britain Radiological Assoc.,PC Past Accepting new patients
Pounds, Medical Weight Loss Transformation, PC Past Accepting new patients
Vein Centers, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25497/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1174877971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LIBERTY SQ",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512636",
            "telephone_number": "860-827-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CEDAR ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521301",
            "telephone_number": "860-229-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKASZEWICZ",
        "first_name": "MAGDALENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "002834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.