Active NPI
Louis Lorenzo Nowlin, PA
- Surgical Physician Assistant
- New York, NY
National Provider Identifier
1295089365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 016105-1
- Practice address
- 443 West 151 Street
4C
New York, NY 10031 - Phone
- (917) 426-4459
- NPI assigned
- Oct 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 016105-1 | NY | Primary |
Addresses
Primary practice location
443 West 151 Street
4C
New York, NY 10031
Mailing address
443 W 151St St
Apt 4C
New York, NY 10031-1800
Phone (917) 426-4459
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016105-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Women'S Health of N.Y. PLLC | Past | Accepting new patients |
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.
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-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1841323771
-
- Obstetrics & Gynecology Physician
- Glendale, NY
- NPI 1982736047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1295089365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 W 151ST ST",
"address_2": "APT 4C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100311800",
"telephone_number": "917-426-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "443 WEST 151 STREET",
"address_2": "4C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10031",
"telephone_number": "917-426-4459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWLIN",
"first_name": "LOUIS",
"middle_name": "LORENZO",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-29",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "016105-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.