Individual provider Active NPI

Joseph J Sliwkowski Jr., MD

  • Sports Medicine (Preventive Medicine) Physician
  • Marlborough, MA
National Provider Identifier
1861452294
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X
License
74311 Issued in MA
Practice address
5 Mount Royal Ave
Marlborough, MA 01752-1981
Phone
(508) 251-7262
Fax
(508) 251-7265
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01051636A IN
Occupational Medicine Physician 2083X0100X 01051636A IN
Sports Medicine (Preventive Medicine) Physician 2083S0010X 74311 MA Primary

Addresses

Primary practice location

5 Mount Royal Ave
Marlborough, MA 01752-1981

Mailing address

5 Mount Royal Ave
Marlborough, MA 01752-1981
Phone (508) 251-7262

Other identifiers 2

IdentifierTypeStateIssuer
000000528705OtherINANTHEM PROVIDER NUMBER
200264480MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01051636AINMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare LLC PastSince Jun 1, 2005 Accepting new patients
Clearchoicemd Primary Care PLLC Family Medicine Past Accepting new patients

Organizations & group practices 2

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1861452294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOUNT ROYAL AVE",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521981",
            "telephone_number": "508-251-7262",
            "fax_number": "508-251-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOUNT ROYAL AVE",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521981",
            "telephone_number": "508-251-7262",
            "fax_number": "508-251-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIWKOWSKI",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01051636A",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IN",
            "license": "01051636A",
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "MA",
            "license": "74311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000528705",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200264480",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.