Active NPI
Robert F. Sowa
- Specialist
- New Bedford, MA
National Provider Identifier
1407983018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- HE-102-1
- Practice address
- 383 Rockdale Ave
New Bedford, MA 02740-1347 - Phone
- (508) 996-5631
- Fax
- (508) 996-5711
- NPI assigned
- Feb 28, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | HE-102-1 | MA | Primary |
Addresses
Primary practice location
383 Rockdale Ave
New Bedford, MA 02740-1347
Mailing address
383 Rockdale Ave
New Bedford, MA 02740-1347
Phone (508) 996-5631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1536702 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HE-102-1 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407983018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 ROCKDALE AVE",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027401347",
"telephone_number": "508-996-5631",
"fax_number": "508-996-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 ROCKDALE AVE",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027401347",
"telephone_number": "508-996-5631",
"fax_number": "508-996-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWA",
"first_name": "ROBERT",
"middle_name": "F.",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "HE-102-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1536702",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.