Active NPI
Janice Nowak, R.D., C.D.N.
- Registered Dietitian
- Tonawanda, NY
National Provider Identifier
1144728163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 291 Ensminger Rd
Tonawanda, NY 14150-6715 - Phone
- (716) 874-3266
- NPI assigned
- Jan 24, 2018
- Last updated
- Mar 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
291 Ensminger Rd
Tonawanda, NY 14150-6715
Mailing address
95 Franklin St RM 1329
Buffalo, NY 14202-3914
Other practice location 1
4600 Thompson Rd
Clarence, NY 14031-1499
Phone (716) 633-5138
Other practice location 2
101 King St Ste A
East Aurora, NY 14052-2301
Phone (716) 652-3374
Other practice location 3
100 Oxford Ave
Lancaster, NY 14086-3000
Phone (716) 685-3498
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 |
|---|---|---|---|
| 005556 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie County Department of Senior Services | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Manager/Care Coordinator
- Buffalo, NY
- NPI 1457680969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1144728163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 FRANKLIN ST RM 1329",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142023914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 ENSMINGER RD",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141506715",
"telephone_number": "716-874-3266"
}
],
"practiceLocations": [
{
"address_1": "4600 Thompson Rd",
"address_purpose": "LOCATION",
"city": "Clarence",
"state": "NY",
"postal_code": "140311499",
"country_code": "US",
"telephone_number": "716-633-5138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 King St Ste A",
"address_purpose": "LOCATION",
"city": "East Aurora",
"state": "NY",
"postal_code": "140522301",
"country_code": "US",
"telephone_number": "716-652-3374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Oxford Ave",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "NY",
"postal_code": "140863000",
"country_code": "US",
"telephone_number": "716-685-3498",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOWAK",
"first_name": "JANICE",
"credential": "R.D., C.D.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.