Active NPI
Rita M. Fowler, RN
- Registered Nurse
- Valley Stream, NY
National Provider Identifier
1659883718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 242209-1
- Practice address
- 33 West Hawthorne Ave. Suite 31
New York Health Care
Valley Stream, NY 11580 - Phone
- (718) 375-6700
- NPI assigned
- Oct 30, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 242209-1 | NY | Primary |
Addresses
Primary practice location
33 West Hawthorne Ave. Suite 31
New York Health Care
Valley Stream, NY 11580
Mailing address
320 Robinson Ave. Unit 203
New York Health Care
Newburgh, NY 12550-3338
Phone (845) 569-8120
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242209-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Health Care Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Valley Stream, NY
- NPI 1215934005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1659883718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 ROBINSON AVE. UNIT 203",
"address_2": "NEW YORK HEALTH CARE",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125503338",
"telephone_number": "845-569-8120",
"fax_number": "845-569-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 WEST HAWTHORNE AVE. SUITE 31",
"address_2": "NEW YORK HEALTH CARE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "11580",
"telephone_number": "718-375-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "RITA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "242209-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.