Active NPI
Jeffrey S Choroszewski, DMD
- Dentist
- Ellicott City, MD
National Provider Identifier
1437176864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12466
- Practice address
- 10318A Baltimore National Park
Ellicott City, MD 21042 - Phone
- (410) 418-4475
- Fax
- (410) 418-4424
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12466 | MD | Primary |
Addresses
Primary practice location
10318A Baltimore National Park
Ellicott City, MD 21042
Mailing address
5248 Cedar Lake
Apt 151
Columbia, MD 21044
Phone (412) 889-5130
Other names 1
- Jeffrey S Choroszewski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12466 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437176864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5248 CEDAR LAKE",
"address_2": "APT 151",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21044",
"telephone_number": "412-889-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10318A BALTIMORE NATIONAL PARK",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "21042",
"telephone_number": "410-418-4475",
"fax_number": "410-418-4424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOROSZEWSKI",
"first_name": "JEFFREY",
"middle_name": "S",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "12466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEFFREY",
"last_name": "CHOROSZEWSKI",
"middle_name": "S",
"credential": "DMD PA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.