Courtney A Kovacic, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

022997 Issued in NY

Practice address

8643 Sheridan Dr
Williamsville, NY 14221-6315

Phone

(716) 565-9030

NPI assigned

Nov 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Courtney Stefanik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: courtneykovacicpa@mhawny.medentdirect.com

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.

• Medical Health Associates of Western New York PLLC

  • Pediatrics Physician
  • Williamsville, NY
  • NPI 1013453273
  NPD (past)
• Suburban Pediatrics, P.C.

  • Pediatrics Physician
  • Williamsville, NY
  • NPI 1598806366
  NPD (past)

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1922577568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 MAIN ST STE 14",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216054",
            "telephone_number": "716-539-0789",
            "fax_number": "716-250-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8643 SHERIDAN DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216315",
            "telephone_number": "716-565-9030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13404 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Alden",
            "state": "NY",
            "postal_code": "140041402",
            "country_code": "US",
            "telephone_number": "716-565-9030",
            "fax_number": "716-565-9038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVACIC",
        "first_name": "COURTNEY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "022997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05492168",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "STEFANIK",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsay Rose Kosinski, MD
• Kostek Chiropractic Offices, PLLC
• Gary J. Kostek, D.C.
• George Kotlewski, M.D.
• Adam S Kotowski, MD
• Jennifer L Kovalick, MS, RDN, CDN
• Erin B Kowalske
• Peter F Kowalski, MD
• Marc J Kozinn, M.D.
• Lisa Kozlowski, MD

• Pediatrics Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.