Ralph Edward Bowman, Physician PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

167733 Issued in NY

Legal business name

RALPH EDWARD BOWMAN, PHYSICIAN PC

Practice address

170 E Main St
Port Jervis, NY 12771-2220

Phone

(845) 856-3323

Fax

(845) 856-6107

NPI assigned

Jan 3, 2012

Last updated

Jan 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Julie Chuckran

Title

Office Manager

Phone

(845) 856-3323

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1639449002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E MAIN ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712220",
            "telephone_number": "845-856-3323",
            "fax_number": "845-856-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E MAIN ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712220",
            "telephone_number": "845-856-3323",
            "fax_number": "845-856-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH EDWARD BOWMAN, PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "CHUCKRAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-856-3323",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "167733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01035116",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Port Jervis Family Health NP PC
• Port Jervis Pharmacy LLC (Medicine Shoppe)
• Port Jervis Volunteer Ambcorps
• Port Jervis Volunteer Ambulance Corps Inc
• Sheila Quinn
• Mary Ann Ricci, CARC
• Elaine Margaret Ridley, RD
• Rite Aid of New York Inc (Rite Aid Pharmacy 00742)
• Yesenia Rivera, LCSW
• Kiera Lindgren Robertson, ATC

• General Practice Physician in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.