Active NPI
Malgorzata E Klonowska, M.D.
- Neurology Physician
- Boston, MA
National Provider Identifier
1225147721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 226835
- Practice address
- Beth Israel Deaconess Med Ctr
330 Brookline Ave- Ksb23
Boston, MA 02215 - Phone
- (617) 667-5264
- NPI assigned
- Aug 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 226835 | MA | Primary |
Addresses
Primary practice location
Beth Israel Deaconess Med Ctr
330 Brookline Ave- Ksb23
Boston, MA 02215
Mailing address
100 E Brookline St
#1
Boston, MA 02118-2324
Phone (617) 667-5264
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226835 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225147721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E BROOKLINE ST",
"address_2": "#1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182324",
"telephone_number": "617-667-5264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BETH ISRAEL DEACONESS MED CTR",
"address_2": "330 BROOKLINE AVE- KSB23",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-667-5264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLONOWSKA",
"first_name": "MALGORZATA",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "226835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.