Individual provider Active NPI

Edward Hatfield Lowe Jr., M.D.

  • General Practice Physician
  • Bronx, NY
National Provider Identifier
1265557185
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
124708 Issued in NY
Practice address
30 Pilot St
Bronx, NY 10464-1630
Phone
(908) 552-4405
Fax
(908) 450-6195
NPI assigned
Mar 20, 2007
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 124708 NY
General Practice Physician 208D00000X 124708 NY Primary

Addresses

Primary practice location

30 Pilot St
Bronx, NY 10464-1630

Mailing address

P.O. Box 73
City Island (Bronx), NY 10464
Phone (908) 552-4405

Other identifiers 1

IdentifierTypeStateIssuer
124708OtherNYSTATE LICENSE

Other names 1

  • Dr. Edward H. Lowe Other name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070619000756 NY Practitioner - General PracticePractitioner - General Surgery 1254430051 Practice locations: Bronx, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124708NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Hill Rehab and Medical Services PC Past Accepting new patients
Avs Arthritis & Associates PC Past Accepting new patients

Organizations & group practices 2

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1265557185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 73",
            "city": "CITY ISLAND (BRONX)",
            "state": "NY",
            "postal_code": "10464",
            "telephone_number": "908-552-4405",
            "fax_number": "908-450-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PILOT ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641630",
            "telephone_number": "908-552-4405",
            "fax_number": "908-450-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "EDWARD",
        "middle_name": "HATFIELD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "124708",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "124708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "124708",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "LOWE",
            "middle_name": "H.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.