Organization Active NPI

Joanna Kowalewski DDS PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1336285311
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046206 Issued in NY
Legal business name
JOANNA KOWALEWSKI DDS PC
Practice address
120 Nassau Ave
Brooklyn, NY 11222-4024
Phone
(718) 389-8889
Fax
(718) 389-7502
NPI assigned
Jan 29, 2007
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. Joanna Kowalewski
Title
Owner
Phone
(718) 389-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 046206 NY Primary

Addresses

Primary practice location

120 Nassau Ave
Brooklyn, NY 11222-4024

Mailing address

120 Nassau Ave
Brooklyn, NY 11222-4024
Phone (718) 389-8889

Other identifiers 2

IdentifierTypeStateIssuer
02832882MedicaidNY
02717164MedicaidNY

National Provider Directory

National Provider Directory

Locations

120 Nassau Ave
Brooklyn, NY 11222
Phone (718) 389-8889

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1336285311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NASSAU AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112224024",
            "telephone_number": "718-389-8889",
            "fax_number": "718-389-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NASSAU AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112224024",
            "telephone_number": "718-389-8889",
            "fax_number": "718-389-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA KOWALEWSKI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "KOWALEWSKI",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-389-8889",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02832882",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02717164",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.