Ewa Matuszkiewicz

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI02234300 Issued in NJ

Practice address

42 Locust Ave Ste 1
Wallington, NJ 07057-1300

Phone

(973) 777-6777

Fax

(973) 777-6577

NPI assigned

Apr 21, 2011

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326339565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LOCUST AVE STE 1",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571300",
            "telephone_number": "973-777-6777",
            "fax_number": "973-777-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LOCUST AVE STE 1",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571300",
            "telephone_number": "973-777-6777",
            "fax_number": "973-777-6577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Clifton Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070132723",
            "country_code": "US",
            "telephone_number": "973-777-7207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATUSZKIEWICZ",
        "first_name": "EWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02234300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Steven Walter Miller, PTA
• Talya Miller
• Miroslawa M. Parfomak, DDS LLC
• Selma Desiree Mizrak
• MJ Natural Wellness LLC

• Periodontics in Wallington, NJ
• Providers in Wallington, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.