Active NPI
Patricia Ann Nowell, DPM
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
National Provider Identifier
1104976505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD001108
- Practice address
- 741 E 22ND St
Brooklyn, NY 11210-1103 - Phone
- (718) 859-3983
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD001108 | GA | Primary |
| Podiatrist | 213E00000X | N004212 | NY |
Addresses
Primary practice location
741 E 22ND St
Brooklyn, NY 11210-1103
Mailing address
741 E 22ND St
Brooklyn, NY 11210-1103
Phone (718) 859-3983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 542577732A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004212 | NY | MD | Podiatrist |
| POD001108 | GA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Medical Utilization Management Corporation | Past | Accepting new patients | |
| St Lukes Roosevelt Community Care | Podiatrist | Past | Accepting new patients |
| Sel Medical PC | Past | Accepting new patients | |
| Astrocare Medical Services PC | Past | Accepting new patients | |
| Beth Israel Medical Center | Past | Accepting new patients |
Organizations & group practices 5
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.
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Podiatrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1104976505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 E 22ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112101103",
"telephone_number": "718-859-3983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 E 22ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112101103",
"telephone_number": "718-859-3983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWELL",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD001108",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004212",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "542577732A",
"state": "GA"
}
],
"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 Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.