Individual provider Active NPI

Judith Ann Nowak, MD

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1124186333
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD11867 Issued in DC
Practice address
908 New Hampshire Avenue NW
Suite 302
Washington, DC 20037-2349
Phone
(202) 887-5495
Fax
(202) 466-5582
NPI assigned
Dec 4, 2006
Last updated
Sep 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD11867 DC Primary
Psychiatry Physician 2084P0800X D0023144 MD
Psychiatry Physician 2084P0800X 0101027121 VA

Addresses

Primary practice location

908 New Hampshire Avenue NW
Suite 302
Washington, DC 20037-2349

Mailing address

908 New Hampshire Avenue NW
Suite 302
Washington, DC 20037-2349
Phone (202) 887-5495

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 1, 2013 through Mar 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11867DCMDPsychiatry Physician
D0023144MDMDPsychiatry Physician
0101027121VAMDPsychiatry Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1124186333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NEW HAMPSHIRE AVENUE NW",
            "address_2": "SUITE 302",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372349",
            "telephone_number": "202-887-5495",
            "fax_number": "202-466-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 NEW HAMPSHIRE AVENUE NW",
            "address_2": "SUITE 302",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372349",
            "telephone_number": "202-887-5495",
            "fax_number": "202-466-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD11867",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0023144",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101027121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.