Individual provider Active NPI

Allison Kowalski, PA

  • Physician Assistant
  • Oradell, NJ
National Provider Identifier
1760026249
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00545800 Issued in NJ
Practice address
680 Kinderkamack Rd Ste 300
Oradell, NJ 07649-1600
Phone
(201) 881-7869
Fax
(201) 342-7171
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00545800 NJ Primary

Addresses

Primary practice location

680 Kinderkamack Rd Ste 300
Oradell, NJ 07649-1600

Mailing address

1666 Hamburg Tpke
Wayne, NJ 07470-4022
Phone (973) 668-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191202000145 NJ Practitioner - Physician Assistant 0143653311 Reassigns benefits to 1 organization
I20240529003923 CO Practitioner - Physician Assistant 0143653311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

12905 W 40TH Ave
Wheat Ridge, CO 80401-2793

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00545800NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 24, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 24, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

12905 W 40th Ave
Ste 415
Golden, CO 80401
Phone (303) 265-5930

3455 Lutheran Pkwy
Ste 280
Wheat Ridge, CO 80033
Phone (303) 403-6628

Interoperability endpoints

  • Direct secure messaging: akowalski308177@ahs.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1760026249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704022",
            "telephone_number": "973-668-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 KINDERKAMACK RD STE 300",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491600",
            "telephone_number": "201-881-7869",
            "fax_number": "201-342-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "ALLISON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00545800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

Verify at the official NPI Registry.