Individual provider Active NPI

Nickolas K Togias

  • Psychiatry Physician
  • Oswego, NY
National Provider Identifier
1902921802
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
258775-1 Issued in NY
Practice address
110 W 6TH St
Oswego, NY 13126-2598
Phone
(315) 349-5511
Fax
(315) 349-5785
NPI assigned
Mar 20, 2007
Last updated
Nov 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 258775-1 NY Primary

Addresses

Primary practice location

110 W 6TH St
Oswego, NY 13126-2598

Mailing address

110 W 6TH St
Oswego, NY 13126-2507

Other identifiers 1

IdentifierTypeStateIssuer
P51069MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130304000147 NY Practitioner - Psychiatry 1456506153 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
258775-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lorna Forbes Nurse Practitioner in Family Health PLLC CurrentSince Jul 6, 2024 Accepting new patients
Neurosciences Healthcare Medicine, PC CurrentSince Jan 3, 2026 Accepting new patients
Neurosciences Healthcare Medicine, PC CurrentSince Jan 3, 2026 Accepting new patients
Broome County Mental Health Department PastSince Jan 1, 2001 Accepting new patients
Broome County Past Accepting new patients

Locations

122 W Main St
Endicott, NY 13760
Phone (607) 237-4724

1020 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 444-6868

243 Maple Ave
Wellsville, NY 14895
Phone (585) 593-7246

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJEFCD
  • Direct secure messaging: jennynick@hiemail.healtheconnections.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1902921802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262598",
            "telephone_number": "315-349-5511",
            "fax_number": "315-349-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOGIAS",
        "first_name": "NICKOLAS",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "258775-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P51069",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.