Active NPI
Michael Jonczyk, M.D.
- General Acute Care Hospital
- Deerfield Beach, FL
National Provider Identifier
1285084384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 268618
- Practice address
- 201 E Sample Rd
Deerfield Beach, FL 33064-3502 - Phone
- (954) 848-8137
- NPI assigned
- Jun 20, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | TRN39771 | FL | |
| General Acute Care Hospital | 282N00000X | 268618 | MA | Primary |
Addresses
Primary practice location
201 E Sample Rd
Deerfield Beach, FL 33064-3502
Mailing address
3 Emerson LN
Middleton, MA 01949-2000
Other practice location 1
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN39771 | FL | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro West Rehab Corp | Current | Accepting new patients | |
| Metro West Rehab Corp | Current | Accepting new patients | |
| Hebrew Seniorlife Affiliated Medical Group Inc | Current | Accepting new patients |
Locations
1200 Centre St
Roslindale, MA 02131
Phone (617) 363-8000
150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Roslindale, MA
- NPI 1477069391
-
- Rehabilitation Hospital
- Westborough, MA
- NPI 1093744286
-
- Rehabilitation Hospital Unit
- Westborough, MA
- NPI 1760783575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1285084384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 EMERSON LN",
"city": "MIDDLETON",
"state": "MA",
"postal_code": "019492000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E SAMPLE RD",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "330643502",
"telephone_number": "954-848-8137"
}
],
"practiceLocations": [
{
"address_1": "800 Washington St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021111552",
"country_code": "US",
"telephone_number": "617-636-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONCZYK",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-20",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "FL",
"license": "TRN39771",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MA",
"license": "268618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.