Edward Naumowicz

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001507 Issued in NY

Practice address

1735 Route 9
Suite 105
Clifton Park, NY 12065-2411

Phone

(518) 383-2366

NPI assigned

Oct 25, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Sun Medical Care PC

  • Family Medicine Physician
  • Scotia, NY
  • NPI 1003924200
  Medicare reassignment

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1003990938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 ROUTE 9",
            "address_2": "SUITE 105",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652411",
            "telephone_number": "518-383-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUMOWICZ",
        "first_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02430266",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherrie L Murray, NP
• Andrea Lynn Muscato, OTR
• Nagarju Namassivaya, DDS
• Carla Natale, LMSW
• National Seating & Mobility, Inc.
• Anne Marie McDermott Nelson, DC
• Craig Nelson, DC
• Lindsay Nemith, PNP
• Nancy Barbara Ness, LMHC
• Neurological & Stroke Care PLLC

• Physician Assistant in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.