Individual provider Active NPI

Charles Slowey III, RPA-C

  • Medical Physician Assistant
  • Smithtown, NY
National Provider Identifier
1821406109
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
007777 Issued in NY
Practice address
9 Ingelore CT
Smithtown, NY 11787-1705
Phone
(215) 764-2444
NPI assigned
Jul 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 007777 NY Primary

Addresses

Primary practice location

9 Ingelore CT
Smithtown, NY 11787-1705

Mailing address

9 Ingelore CT
Smithtown, NY 11787-1705
Phone (215) 764-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BSH Health PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1821406109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 INGELORE CT",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871705",
            "telephone_number": "215-764-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 INGELORE CT",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871705",
            "telephone_number": "215-764-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOWEY",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.