Active NPI
Kandice M. Kowalewski, PA
- Medical Physician Assistant
- Syracuse, NY
National Provider Identifier
1881609204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0098221
- Practice address
- 770 James St
Suite 100
Syracuse, NY 13203-2117 - Phone
- (315) 422-2222
- Fax
- (315) 472-8497
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0098221 | NY | Primary |
Addresses
Primary practice location
770 James St
Suite 100
Syracuse, NY 13203-2117
Mailing address
792 N Main St
Suite 100a
North Syracuse, NY 13212-1644
Phone (315) 423-9722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
792 /2 N Main St
North Syracuse, NY 13212-1670
Phone (315) 701-0500
935 James St
Syracuse, NY 13203-2502
Phone (315) 422-2222
Hospital & facility affiliations
- Crouse Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0098221 | NY | MD | Medical Physician Assistant |
Interoperability endpoints
- kandice.kowalewskipa.awm@direct.awm.nextgenshare.com
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.
-
- Obstetrics & Gynecology Physician
- Syracuse, NY
- NPI 1942258702
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1881609204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 N MAIN ST",
"address_2": "SUITE 100A",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132121644",
"telephone_number": "315-423-9722",
"fax_number": "315-423-9687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 JAMES ST",
"address_2": "SUITE 100",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032117",
"telephone_number": "315-422-2222",
"fax_number": "315-472-8497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALEWSKI",
"first_name": "KANDICE",
"middle_name": "M.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "0098221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.