Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joanna Marie Klosek Longo

Individual provider Physician Assistant · NPI 1063077303

Joanna Marie Klosek Longo is a Physician Assistant in Catonsville, Maryland. Qualified in 2019, 7 years ago. Practices with Southeastern Intensivist Services PC, a 237-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019

Practice location Address checks out

424 Montemar Ave
Catonsville, MD 21228-5213
Phone: (443) 690-5894
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1063077303
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2019
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southeastern Intensivist Services Pc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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