Individual provider Active NPI

Paul C Nowak, MD

  • Emergency Medicine Physician
  • Sleepy Hollow, NY
National Provider Identifier
1225074586
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
032915 Issued in CT
Practice address
701 North Broadway
Phelps Memorial Hospital
Sleepy Hollow, NY 10591
Phone
(914) 366-1554
Fax
(610) 660-9384
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 032915 CT Primary
Emergency Medicine Physician 207P00000X 177633 NY
Internal Medicine Physician 207R00000X 032915 CT
Internal Medicine Physician 207R00000X 177633 NY

Addresses

Primary practice location

701 North Broadway
Phelps Memorial Hospital
Sleepy Hollow, NY 10591

Mailing address

PO Box 13700-1365
C/O Phelps Memorial Hospital Emergency Physicians
Philadelphia, PA 19191-1365
Phone (800) 666-2455

Other identifiers 1

IdentifierTypeStateIssuer
6019427OtherCTMVP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031118000132 CT Practitioner - Internal Medicine 1355255902 Reassigns benefits to 1 organization
I20110118000234 NY Practitioner - Emergency Medicine 1355255902 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of Connecticut PCGroup PAC ID 8820390214, 30 clinicians

Practice addresses (Care Compare)

50 Hospital Hill Rd
Sharon, CT 06069-2096
Phone (860) 364-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.37 of 100Reported as individual
Quality
90.02
Improvement activities
40
Cost
78.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032915CTMDEmergency Medicine Physician
177633NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Phelps Memorial Hospital Association Current Accepting new patients
Excel Urgent Care of Goshen PLLC Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Southern Westchester Urgent Care PLLC CurrentSince Dec 1, 2014 Accepting new patients
Emergency Physicians of Connecticut PC Emergency Medicine CurrentSince Feb 20, 2019 Accepting new patients
Throgs Neck Urgent Medical Care PLLC CurrentSince Dec 1, 2014 Accepting new patients
Phelps Memorial Hospital Association CurrentSince May 1, 1986 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Aug 9, 2017 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Excel Urgent Care of Astoria PLLC Emergency Medicine Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Aug 9, 2017 Accepting new patients
Phelps Memorial Hospital Association Emergency Medicine CurrentSince May 1, 1986 Accepting new patients
Fishkill Pharmacy LLC Past Accepting new patients
Phelps Memorial Hospital Association Internal Medicine Past Accepting new patients

Locations

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

3594 E Tremont Ave
Bronx, NY 10465
Phone (718) 597-5800

68 E 161st St
Bronx, NY 10451
Phone (718) 571-9139

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

1 Hatfield Ln
Ste 2B
Goshen, NY 10924
Phone (845) 360-5530

16221 Jamaica Ave
Jamaica, NY 11432
Phone (718) 571-9116

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

1915 Central Park Ave
#25
Yonkers, NY 10710
Phone (914) 682-8485

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1225074586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13700-1365",
            "address_2": "C/O PHELPS MEMORIAL HOSPITAL EMERGENCY PHYSICIANS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191911365",
            "telephone_number": "800-666-2455",
            "fax_number": "610-660-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NORTH BROADWAY",
            "address_2": "PHELPS MEMORIAL HOSPITAL",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "10591",
            "telephone_number": "914-366-1554",
            "fax_number": "610-660-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "PAUL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "032915",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "177633",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "032915",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "177633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "6019427",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.