Blake Loren Kowalski

Primary specialty

DriverTaxonomy code 172A00000X

License

761952691 Issued in NY

Practice address

284 Hidden Valley Rd
Rochester, NY 14624-2356

Phone

(585) 944-4591

NPI assigned

Jan 15, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1659901890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 HIDDEN VALLEY RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242356",
            "telephone_number": "585-944-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 HIDDEN VALLEY RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242356",
            "telephone_number": "585-944-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "BLAKE",
        "middle_name": "LOREN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NY",
            "license": "761952691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Ann Kovalec, RN
• Marina Kovalenko, PA
• Evan Alexander Kowal, DOCTOR OF PHARMACY
• Janet D. Kowal, PH.D., MSW
• Roman M Kowalchuk, M.D.
• Nancy A Kowalski, MS, R.N., C.N.S
• Sharon M Kowalski, R.N.
• Krista Kowiak, PA-C
• Marie Kozak, RN
• Shannon Kozak, RN

• Driver in Rochester, NY
• Providers in Rochester, NY by specialty
• Driver in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.