Jason Robert Kwiatkowski, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9107938 Issued in FL

Practice address

5800 Colonial Dr
Suite 108
Margate, FL 33063-5682

Phone

(954) 969-1355

NPI assigned

Jan 23, 2008

Last updated

Apr 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jkwiatkowski20236@jupitermedicalcenter.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emma J Patterson MD PC

  • Surgery Physician
  • Portland, OR
  • NPI 1902795917
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1891972634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 WINDSWEPT DR",
            "address_2": "APT 202",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334622481",
            "telephone_number": "503-473-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 COLONIAL DR",
            "address_2": "SUITE 108",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635682",
            "telephone_number": "954-969-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIATKOWSKI",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9107938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kowalski, DO
• Kerri Marie Krauss
• Jack A Kravitz, MD
• Nazha Kuno
• Kelsey Kupiec, PHARMD
• L&D Paradise, LLC
• Danielle D La Barrie, LCSW, QS, CAP
• Lab Rite 1 LLC
• Laborant LLC (ARCpoint Labs of Margate, FL)
• Natalia Labuttis, IMH 29220

• Surgical Physician Assistant in Margate, FL
• Providers in Margate, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.