NPIMap

Organization Active NPI

Kinga Kostolowska, D.M.D., P.C.

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1386868453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS028239L Issued in PA
Legal business name
KINGA KOSTOLOWSKA, D.M.D., P.C.
Practice address
2409 E Allegheny Ave
Philadelphia, PA 19134-4402
Phone
(215) 634-9151
Fax
(215) 634-7723
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kinga Kostolowska, D.M.D.
Title
President
Phone
(215) 634-9151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS028239L PA Primary

Addresses

Primary practice location

2409 E Allegheny Ave
Philadelphia, PA 19134-4402

Mailing address

2409 E Allegheny Ave
Philadelphia, PA 19134-4402
Phone (215) 634-9151

Other names 1

  • Northeast Dental Associates Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386868453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344402",
            "telephone_number": "215-634-9151",
            "fax_number": "215-634-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344402",
            "telephone_number": "215-634-9151",
            "fax_number": "215-634-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGA KOSTOLOWSKA, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOSTOLOWSKA",
        "authorized_official_first_name": "KINGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-634-9151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028239L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Dental Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.