Provider Demographics
NPI:1386088169
Name:DMOCHOWSKA, JOLANTA (MD,DO,)
Entity type:Individual
Prefix:DR
First Name:JOLANTA
Middle Name:
Last Name:DMOCHOWSKA
Suffix:
Gender:F
Credentials:MD,DO,
Other - Prefix:DR
Other - First Name:JOLANTA
Other - Middle Name:
Other - Last Name:DMOCHOWSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,DO,
Mailing Address - Street 1:94 OLD SHORT HILLS RD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5672
Mailing Address - Country:US
Mailing Address - Phone:973-322-5000
Mailing Address - Fax:
Practice Address - Street 1:NYU LANGONE MEDICAL
Practice Address - Street 2:934 MANHATTAN AVE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222
Practice Address - Country:US
Practice Address - Phone:718-389-8585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY293290207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty