Individual provider Active NPI

James Francis Sumowski, PH.D.

  • Clinical Neuropsychologist
  • New York, NY
National Provider Identifier
1396106977
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
018306 Issued in NY
Practice address
3 E 65TH St
Suite 5B
New York, NY 10065-6527
Phone
(917) 275-5027
NPI assigned
Mar 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 018306 NY Primary

Addresses

Primary practice location

3 E 65TH St
Suite 5B
New York, NY 10065-6527

Mailing address

3 E 65TH St
Suite 5B
New York, NY 10065-6527
Phone (917) 275-5027

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705000014 NY Practitioner - Clinical Psychologist 6709178254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Columbia University College of Physicians and Surgeons, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5 E 98TH Street-1St FL
Dept of Neurology
New York, NY 10029-6501
Phone (212) 241-4572

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018306NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

150 E 42nd St
New York, NY 10017
Phone (212) 661-8139

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

5 E 98th St
#1
New York, NY 10029
Phone (212) 241-8004

5 E 98th St
Fl 1
New York, NY 10029
Phone (212) 241-5607

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

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 6

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1396106977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E 65TH ST",
            "address_2": "SUITE 5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656527",
            "telephone_number": "917-275-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E 65TH ST",
            "address_2": "SUITE 5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656527",
            "telephone_number": "917-275-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMOWSKI",
        "first_name": "JAMES",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "018306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.