Individual provider Active NPI

Tomasz Wojciech Kowacz, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1063436798
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
214508 Issued in NY
Practice address
606 Winthrop St
Brooklyn, NY 11203-1709
Phone
(718) 245-2313
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 214508 NY Primary

Addresses

Primary practice location

606 Winthrop St
Brooklyn, NY 11203-1709

Mailing address

9805 67TH Ave Apt 9C
Rego Park, NY 11374-4928
Phone (718) 897-5061

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521000027 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 8022182021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seniorstat Psychiatric PC Psychiatry Past Accepting new patients

Organizations & group practices 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1063436798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 67TH AVE APT 9C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744928",
            "telephone_number": "718-897-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 WINTHROP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031709",
            "telephone_number": "718-245-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWACZ",
        "first_name": "TOMASZ",
        "middle_name": "WOJCIECH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "214508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.