Individual provider Active NPI

Monica Sandy Nowak, D.C.

  • Chiropractor
  • East Hartford, CT
National Provider Identifier
1891730099
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001818 Issued in CT
Practice address
290 Roberts St Ste 202
East Hartford, CT 06108
Phone
(860) 290-3788
Fax
(860) 290-3789
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00629800 NJ
Chiropractor 111N00000X 001818 CT Primary

Addresses

Primary practice location

290 Roberts St Ste 202
East Hartford, CT 06108

Mailing address

290 Roberts St Ste 202
East Hartford, CT 06108-3656
Phone (860) 290-3788

Other practice location 1

35 Church St
Canaan, CT 06018-2466
Phone (860) 824-0748

Other names 1

  • Monica Sandy Warchol Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00629800NJMDChiropractor
001818CTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1891730099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 ROBERTS ST STE 202",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083656",
            "telephone_number": "860-290-3788",
            "fax_number": "860-290-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ROBERTS ST STE 202",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "06108",
            "telephone_number": "860-290-3788",
            "fax_number": "860-290-3789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Church St",
            "address_purpose": "LOCATION",
            "city": "Canaan",
            "state": "CT",
            "postal_code": "060182466",
            "country_code": "US",
            "telephone_number": "860-824-0748",
            "fax_number": "860-824-0749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "MONICA",
        "middle_name": "SANDY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00629800",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "WARCHOL",
            "middle_name": "SANDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.