Active NPI
Tomasz Wojciech Kowacz, MD
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1063436798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 214508
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240521000027 | NY | Order and Referring Only - Psychiatry | 8022182021 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatry Physician
- Great Neck, NY
- NPI 1497814933
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.