Active NPI
Joanne Nowak, MD
- Internal Medicine Physician
- Lawrence, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 54126
- Practice address
- 360 Merrimack St Ste 9
Lawrence, MA 01843-1764 - Phone
- (978) 552-4080
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 54126 | MA | Primary |
Addresses
Primary practice location
360 Merrimack St Ste 9
Lawrence, MA 01843-1764
Mailing address
360 Merrimack St Ste 9
Lawrence, MA 01843-1764
Phone (978) 552-4080
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3064441 | Medicaid | MA | |
| 715023 | Other | MA | TUFTS HEALTH PLAN |
| J04598 | Other | MA | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050502001040 | MA | Practitioner - Internal Medicine | 5890734560 | Reassigns benefits to 1 organization |
| I20250908002483 | DE | Practitioner - Internal Medicine | 5890734560 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Boston University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 N Main St
Unit 500
Providence, RI 02903-1365
78 Pine St
Andover, MA 01810-1714
Hospital & facility affiliations
- Tufts Medicine Care at Home
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54126 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tufts Medicine Care at Home, Inc. | Current | Accepting new patients | |
| Tufts Medicine Care at Home, Inc. | Current | Accepting new patients |
Locations
847 Rogers St
Ste 201
Lowell, MA 01852
Phone (978) 459-9343
Interoperability endpoints
- jnowak31389@tuftsmedicine.direct-ci.com
Organizations & group practices 3
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.
-
- Home Health Agency
- North Hampton, NH
- NPI 1225825458
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Malden, MA
- NPI 1508413733
Hospice
-
- Community Based Hospice Care Agency
- Lowell, MA
- NPI 1356338529
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1184615007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 MERRIMACK ST STE 9",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431764",
"telephone_number": "978-552-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 MERRIMACK ST STE 9",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431764",
"telephone_number": "978-552-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "JOANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "54126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3064441",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "715023",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J04598",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.