Individual provider Active NPI

Elizabeth Anne Kowalski, WHNP-BC

  • Women's Health Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1316535123
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421478-01 Issued in NY
Practice address
109-33 71St Road
Suite 2G
Forest Hills, NY 11375
Phone
(718) 263-1963
Fax
(718) 268-6616
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ01072900 NJ
Women's Health Nurse Practitioner 363LW0102X F421478-01 NY Primary

Addresses

Primary practice location

109-33 71St Road
Suite 2G
Forest Hills, NY 11375

Mailing address

109-33 71St Road
Suite 2G
Forest Hills, NY 11375
Phone (718) 263-1963

Other practice location 1

2950 Hempstead Turnpike
Levittown, NY 11756
Phone (516) 731-9000

Other practice location 2

372 Post Avenue
Westbury, NY 11590
Phone (516) 333-1444

Other practice location 3

82-12 151st Avenue
Howard Beach, NY 11414
Phone (718) 843-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20220128001664 NJ Practitioner - Nurse Practitioner 9133511926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01072900NJMDWomen's Health Nurse Practitioner
F421478-01NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Oct 30, 2021 Accepting new patients
John Diiorio M.D., P.C. PastSince Jan 10, 2021 Accepting new patients
Mayer J. Saad MD P.C. PastSince Jan 10, 2021 Accepting new patients

Locations

140 E Ridgewood Ave
Ste 320N
Paramus, NJ 07652

1578 Route 23
Ste 201
Wayne, NJ 07470
Phone (973) 709-0020

Interoperability endpoints

  • Direct secure messaging: elizabeth.kowalski.1@5622.direct.athenahealth.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.

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1316535123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109-33 71ST ROAD",
            "address_2": "SUITE 2G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-263-1963",
            "fax_number": "718-268-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109-33 71ST ROAD",
            "address_2": "SUITE 2G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-263-1963",
            "fax_number": "718-268-6616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 Hempstead Turnpike",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "NY",
            "postal_code": "11756",
            "country_code": "US",
            "telephone_number": "516-731-9000",
            "fax_number": "516-731-9004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "372 Post Avenue",
            "address_purpose": "LOCATION",
            "city": "Westbury",
            "state": "NY",
            "postal_code": "11590",
            "country_code": "US",
            "telephone_number": "516-333-1444",
            "fax_number": "516-333-2725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "82-12 151st Avenue",
            "address_purpose": "LOCATION",
            "city": "Howard Beach",
            "state": "NY",
            "postal_code": "11414",
            "country_code": "US",
            "telephone_number": "718-843-6300",
            "fax_number": "718-843-6334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ01072900",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421478-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.