NPIMap

Individual provider Active NPI

Theodore Nowakiwskyj, MD

  • Internal Medicine Physician
  • Scarsdale, NY
National Provider Identifier
1699744318
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
227520 Issued in NY
Practice address
700 White Plains Rd Ste 5
Scarsdale, NY 10583-5013
Phone
(914) 337-3500
Fax
(914) 337-3500
NPI assigned
Mar 15, 2006
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 227520 NY Primary

Addresses

Primary practice location

700 White Plains Rd Ste 5
Scarsdale, NY 10583-5013

Mailing address

700 White Plains Rd Ste 5
Scarsdale, NY 10583-5013
Phone (914) 337-3500

Other identifiers 1

IdentifierTypeStateIssuer
02500801MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000741 NY Practitioner - Internal Medicine 3274592472 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Muhammad Naeem Physicians PCGroup PAC ID 7416916614, 5 clinicians

Practice addresses (Care Compare)

530 Yonkers Ave
Yonkers, NY 10704-2602
Phone (914) 237-7031

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227520NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Medical Associates, PC Internal Medicine Current Accepting new patients
Lawrence Medical Associates, PC CurrentSince Sep 17, 2022 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jul 7, 2022 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jul 7, 2022 Accepting new patients
Muhammad Naeem Physicians PC Internal Medicine CurrentSince Nov 15, 2003 Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients

Locations

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

700 White Plains Rd
Ste 5
Scarsdale, NY 10583
Phone (914) 723-2446

530 Yonkers Ave
Yonkers, NY 10704
Phone (914) 237-7031

955 Yonkers Ave
Ste 102
Yonkers, NY 10704
Phone (914) 237-2201

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1699744318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WHITE PLAINS RD STE 5",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835013",
            "telephone_number": "914-337-3500",
            "fax_number": "914-337-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WHITE PLAINS RD STE 5",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835013",
            "telephone_number": "914-337-3500",
            "fax_number": "914-337-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAKIWSKYJ",
        "first_name": "THEODORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "227520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02500801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.