Active NPI
Kathryn Skolnick
- Family Medicine Physician
- Owego, NY
National Provider Identifier
1114618436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 340652
- Practice address
- 42 W Main St
Owego, NY 13827-1578 - Phone
- (607) 687-0350
- NPI assigned
- May 17, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 340652 | NY | Primary |
Addresses
Primary practice location
42 W Main St
Owego, NY 13827-1578
Mailing address
507 Main St
Johnson City, NY 13790-1810
Phone (607) 763-6075
Other practice location 1
507 Main St
Johnson City, NY 13790-1810
Phone (607) 763-6075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
33 Lewis Rd
Binghamton, NY 13905-1013
33 Lewis Rd FL
Suite 2
Binghamton, NY 13905-1054
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1114618436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 MAIN ST",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137901810",
"telephone_number": "607-763-6075",
"fax_number": "607-763-5234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 W MAIN ST",
"city": "OWEGO",
"state": "NY",
"postal_code": "138271578",
"telephone_number": "607-687-0350"
}
],
"practiceLocations": [
{
"address_1": "507 Main St",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "NY",
"postal_code": "137901810",
"country_code": "US",
"telephone_number": "607-763-6075",
"fax_number": "607-763-5234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKOLNICK",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "340652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.