Individual provider Active NPI

Timothy J Sowicz, MSN, NP-C

  • Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1205168267
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0000528 Issued in DE
Practice address
908 E 16TH St Ste B
Wilmington, DE 19802-5145
Phone
(302) 575-1414
NPI assigned
Feb 2, 2010
Last updated
Apr 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0000528 DE Primary
General Practice Registered Nurse 163WG0000X L1-0037161 DE

Addresses

Primary practice location

908 E 16TH St Ste B
Wilmington, DE 19802-5145

Mailing address

2 Penns Way
Suite 412
New Castle, DE 19720
Phone (302) 652-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251014003415 NM Practitioner - Nurse Practitioner 2466644927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albuquerque Health Care for the Homeless, IncGroup PAC ID 4981903754, 11 clinicians

Practice addresses (Care Compare)

1217 1St St NW
Albuquerque, NM 87102-1529
Phone (505) 766-5197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L1-0037161DEMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Health Care for the Homeless, Inc. CurrentSince Jul 20, 2025 Accepting new patients

Locations

1217 1st St NW
Albuquerque, NM 87102
Phone (505) 242-4644

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJDGBD

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": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1205168267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PENNS WAY",
            "address_2": "SUITE 412",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "19720",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 E 16TH ST STE B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198025145",
            "telephone_number": "302-575-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWICZ",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-02",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000528",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "DE",
            "license": "L1-0037161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.