Jadwiga Malaczynski, M.D.,PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

4301061286 Issued in MI

Legal business name

JADWIGA MALACZYNSKI, M.D.,PC

Practice address

3120 Carpenter
Suite 311
Hamtramck, MI 48212-2783

Phone

(313) 369-3365

Fax

(313) 893-3875

NPI assigned

Jun 17, 2010

Last updated

Jun 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jadwiga Kazimiera Malaczynski, M.D.NPI 1730271107

Title

President

Phone

(313) 369-3365

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Jadwiga Kazimiera Malaczynski, MD

  • Internal Medicine Physician
  • Hamtramck, MI
  • NPI 1730271107
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1790006328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 CARPENTER",
            "address_2": "SUITE 311",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122783",
            "telephone_number": "313-369-3365",
            "fax_number": "313-893-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 CARPENTER",
            "address_2": "SUITE 311",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122783",
            "telephone_number": "313-369-3365",
            "fax_number": "313-893-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADWIGA MALACZYNSKI, M.D.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "MALACZYNSKI",
        "authorized_official_first_name": "JADWIGA",
        "authorized_official_middle_name": "KAZIMIERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-369-3365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301061286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4272045",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0827662",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• International Musculoskeletal Center PC
• Madhiha Islam
• Mohammad Fokhrul Islam
• Hana S Ismail
• Amjed B Jadallah
• Tanvee Jain, PA-C
• Quadir Jaleel, M.D.
• Olan Jareunpoon, MD
• Jashvant Dani MDPC
• Farjana Rahman Jemi

• Hematology & Oncology Physician in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Hematology & Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.