Phillip John Sowicki, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

475707 Issued in NY

Practice address

6301 Inducon Dr E
Sanborn, NY 14132-9098

Phone

(716) 731-2030

NPI assigned

Oct 23, 2020

Sex

Male

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/78f4cdd4-55a7-4d47-b25a-4d044d550506/

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.

• Horizon Health Services

  • Substance Abuse Rehabilitation Facility
  • Sanborn, NY
  • NPI 1326344409
  NPD (past)
• Horizon Village

  • Substance Abuse Rehabilitation Facility
  • Sanborn, NY
  • NPI 1902063522
  NPD (past)

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1942809694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 INDUCON DR E",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329098",
            "telephone_number": "716-731-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 INDUCON DR E",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329098",
            "telephone_number": "716-731-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWICKI",
        "first_name": "PHILLIP",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "475707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Teresa Seelbach, COTA/L
• Jennifer R Seib, CASAC-T
• Matthew J Seib, AS
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• Cassandra Lynn Sherwood, FNP-C
• Malerie Marie Staskiewicz
• Sarah A Tabone, BA
• Pamela Tavenier, LPN
• Matt Paul Terranova
• Tri-Community Ambulance Service Inc

• Registered Nurse in Sanborn, NY
• Providers in Sanborn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.