Magdalena Lukaszewicz, PA-C
Individual provider Active NPI Surgical Physician Assistant · New Britain, CT
NPI 1174877971 · NPPES record last updated Oct 31, 2012
Key facts
- NPI
- 1174877971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 002834 (CT)
- Practice address
- 23 Cedar St
New Britain, CT 06052-1301 - Phone
- (860) 229-8346
- NPI assigned
- Oct 31, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200302001305 | CT | Practitioner - Physician Assistant | 4981906096 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2834 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vein Centers, LLC | Past | Accepting new patients | |
| Pounds, Medical Weight Loss Transformation, PC | Past | Accepting new patients | |
| New Britain Radiological Assoc.,PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25497/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 002834 | CT | Yes |
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
Other providers in New Britain, CT
- Lorikeet Collective PLLC
- John Robert Loveland
- Andrew Lovell
- Lizzie Luckashvili
- Macy Alexandra Luginbuhl
- Bridgit Kathleen Lumley
- Diana Vanessa Luna
- Paulina Luna
- Justin B Lundbye
- Jenna Marie Lundquist
All providers in New Britain, CT · Surgical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.