Individual provider Active NPI

Angelica Francine Duczakowski, PA

  • Physician Assistant
  • Hingham, MA
National Provider Identifier
1235223587
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1909 Issued in MA
Practice address
2 Pond Park Rd
Ste. 102
Hingham, MA 02043-4309
Phone
(781) 337-5555
Fax
(781) 331-0300
NPI assigned
Oct 3, 2006
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1909 MA Primary

Addresses

Primary practice location

2 Pond Park Rd
Ste. 102
Hingham, MA 02043-4309

Mailing address

2 Pond Park Rd
Ste. 102
Hingham, MA 02043-4309
Phone (781) 337-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051103000830 MA Practitioner - Physician Assistant 6103895362 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians

Practice addresses (Care Compare)

100 Highland St
Suite 123
Milton, MA 02186-3881
Phone (617) 698-8585

199 Reedsdale Rd
Milton, MA 02186-3926
Phone (617) 696-4600

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Orthopedics LLC CurrentSince Oct 1, 2006 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients
Community Physicians Associates, Inc. Past Accepting new patients

Locations

2 Pond Park Rd
Ste 102
Hingham, MA 02043
Phone (781) 337-5555

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

Interoperability endpoints

  • Direct secure messaging: aduczakowski252899@direct.bilh.masshiway.net
  • Direct secure messaging: duczakowski.angelica.nwh@direct.partners.masshiway.net

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1235223587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 POND PARK RD",
            "address_2": "STE. 102",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434309",
            "telephone_number": "781-337-5555",
            "fax_number": "781-331-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POND PARK RD",
            "address_2": "STE. 102",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434309",
            "telephone_number": "781-337-5555",
            "fax_number": "781-331-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCZAKOWSKI",
        "first_name": "ANGELICA",
        "middle_name": "FRANCINE",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.