Jacqueline Diane Nowak, COTA

Primary specialty

SpecialistTaxonomy code 174400000X

License

002277-1 Issued in NY

Practice address

3767 Delaware Ave
Buffalo, NY 14217

Phone

(716) 603-6930

NPI assigned

Jan 28, 2008

Sex

Female

Sole proprietor

No

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1700063138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GRANGER PLACE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142223723",
            "telephone_number": "716-603-6930",
            "fax_number": "716-662-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-603-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "JACQUELINE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "002277-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Amie Nowadly
• Brittany Therese Nowak, PA
• David Edward Nowak, MD PHD
• Donald Nowak, MHC
• Heidi Ann Nowak, WHNP
• Jan Anthony Nowak, MD PHD
• John Joseph Nowak, D.C.
• Karen Elizabeth Nowak
• Kevin R. Nowak, MD
• Mark Francis Nowak, LMHC- NEW YORK

• Specialist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.