Active NPI
Cory R Pashkowitz, NRP
- Paramedic
- Atlantic, VA
National Provider Identifier
1730741091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- E062700102
- Practice address
- 31340 Lawrence Dr
Atlantic, VA 23303-2146 - Phone
- (757) 894-3059
- NPI assigned
- Jul 7, 2019
- Last updated
- Jul 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | E062700102 | VA | Primary |
Addresses
Primary practice location
31340 Lawrence Dr
Atlantic, VA 23303-2146
Mailing address
PO Box 781
Atlantic, VA 23303-0781
Phone (757) 894-3059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E062700102 | Other | VA | VAOEMS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E062700102 | VA | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562457600000",
"number": "1730741091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781",
"city": "ATLANTIC",
"state": "VA",
"postal_code": "233030781",
"telephone_number": "757-894-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31340 LAWRENCE DR",
"city": "ATLANTIC",
"state": "VA",
"postal_code": "233032146",
"telephone_number": "757-894-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASHKOWITZ",
"first_name": "CORY",
"middle_name": "R",
"credential": "NRP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-07",
"last_updated": "2019-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "VA",
"license": "E062700102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VAOEMS",
"identifier": "E062700102",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlantic, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.