Individual provider Active NPI

Logan Michael Handwerk, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1164031878
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
147 W 25TH St FL 10
New York, NY 10001-7265
Phone
(212) 253-2968
Fax
(212) 253-2953
NPI assigned
Jul 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

147 W 25TH St FL 10
New York, NY 10001-7265

Mailing address

147 W 25TH St FL 10
New York, NY 10001-7265
Phone (212) 253-2968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241001001484 NY Practitioner - Physician Assistant 2163817412 Reassigns benefits to 1 organization
I20250916003150 AZ Practitioner - Physician Assistant 2163817412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

11685 W Van Buren St
Avondale, AZ 85323-6904
Phone (623) 465-6420

15223 N 87TH St
Suite 110
Scottsdale, AZ 85260-2640
Phone (480) 682-4100

1908 E McKellips Rd
Mesa, AZ 85203-2866
Phone (480) 827-5610

21980 N 83Rd Ave
Peoria, AZ 85383-1850
Phone (623) 465-6375

3247 E Bell Rd
PB1
Phoenix, AZ 85032-2707
Phone (602) 255-7655

4200 E Camelback Rd
Suite 106
Phoenix, AZ 85018-2718
Phone (602) 255-7590

4760 E Thunderbird Rd
Suite 1
Phoenix, AZ 85032-5589
Phone (480) 827-5590

5018 N 7TH St
Phoenix, AZ 85014-3101
Phone (602) 255-7680

931 E Elliot Rd
Suite 115
Tempe, AZ 85284-1583
Phone (480) 827-5640

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Arizona LLC CurrentSince Nov 1, 2025 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Nov 1, 2025 Accepting new patients
New York University CurrentSince Oct 1, 2024 Accepting new patients
New York University CurrentSince Oct 1, 2024 Accepting new patients
Astor Medical PC CurrentSince Mar 27, 2022 Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

4760 E Thunderbird Rd
Ste 1
Phoenix, AZ 85032
Phone (480) 827-5590

4200 E Camelback Rd
Ste 106
Phoenix, AZ 85018
Phone (602) 255-7590

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

15223 N 87th St
Ste 110
Scottsdale, AZ 85260
Phone (480) 682-4100

13901 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 465-6435

15521 W Bell Rd
Surprise, AZ 85374
Phone (623) 223-1820

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

147 W 25th St
Fl 10
New York, NY 10001
Phone (212) 253-2968

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1164031878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W 25TH ST FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017265",
            "telephone_number": "212-253-2968",
            "fax_number": "212-253-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W 25TH ST FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017265",
            "telephone_number": "212-253-2968",
            "fax_number": "212-253-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDWERK",
        "first_name": "LOGAN",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2022-03-24",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.