Patrick Nowak, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N0039621 Issued in NY

Practice address

2984 Hylan Blvd
Staten Island, NY 10306-4060

Phone

(718) 979-9511

Fax

(718) 979-9511

NPI assigned

Jan 8, 2011

Last updated

Jan 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: patrick.nowak.1@22212.direct.athenahealth.com

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294444800000",
    "number": "1902100712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2984 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064060",
            "telephone_number": "718-979-9511",
            "fax_number": "718-979-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2984 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064060",
            "telephone_number": "718-979-9511",
            "fax_number": "718-979-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0039621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Thomas Novello
• Laura Marie Novello, M.S., CCC-SLP
• Larisa Novodvorskaya
• Anetta Maria Nowak, PHARMD
• Dawn E Nowak, FNP
• Jeremy Nowakowski, FNP
• Katarzyna Weronika Nowicka, CCC-SLP
• NP in Family Health Care PC
• Taledah Nsouli, RPH
• Nsuh South Beach Physicians Ufp Corporation

• Podiatrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; 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.