Individual provider Active NPI

Susan Kwiatkowski, PA-C

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1487444535
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102972 Issued in FL
Practice address
10044 NW 1St CT
Plantation, FL 33324
Phone
(954) 899-3708
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102972 FL Primary

Addresses

Primary practice location

10044 NW 1St CT
Plantation, FL 33324

Mailing address

10044 NW 1St CT
Plantation, FL 33324-7005
Phone (954) 741-5600

Other practice location 1

12260 NW 29th Mnr
Sunrise, FL 33323-1550
Phone (954) 899-3708

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

LicenseStateTypeSpecialty
PA9102972FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edward H. Schlam M.D., P.a. CurrentSince May 18, 2025 Accepting new patients

Locations

10044 NW 1st Ct
Plantation, FL 33324
Phone (954) 741-5600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1487444535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10044 NW 1ST CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247005",
            "telephone_number": "954-741-5600",
            "fax_number": "954-741-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10044 NW 1ST CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-899-3708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12260 NW 29th Mnr",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333231550",
            "country_code": "US",
            "telephone_number": "954-899-3708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWIATKOWSKI",
        "first_name": "SUSAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.