Individual provider Active NPI

Janusz Henryk Swiatkowski, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Boynton Beach, FL
National Provider Identifier
1528387065
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
208857 Issued in NY
Practice address
415 S Federal Hwy
Boynton Beach, FL 33435-4931
Phone
(954) 487-1224
NPI assigned
May 24, 2010
Last updated
Dec 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 208857 NY Primary

Addresses

Primary practice location

415 S Federal Hwy
Boynton Beach, FL 33435-4931

Mailing address

8822 Indian River Run
Boynton Beach, FL 33472-2444
Phone (561) 292-3365

Other practice location 1

1017 N Olive Ave
West Palm Beach, FL 33401-3511
Phone (561) 833-7553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221207003045 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 0749246890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
208857NYMDAddiction Medicine (Psychiatry & Neurology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1528387065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8822 INDIAN RIVER RUN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722444",
            "telephone_number": "561-292-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S FEDERAL HWY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354931",
            "telephone_number": "954-487-1224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1017 N Olive Ave",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013511",
            "country_code": "US",
            "telephone_number": "561-833-7553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWIATKOWSKI",
        "first_name": "JANUSZ",
        "middle_name": "HENRYK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NY",
            "license": "208857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.