Individual provider Active NPI

Nicholas J Orlowsky, PA-C

  • Physician Assistant
  • Greenville, SC
National Provider Identifier
1952790719
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3971 Issued in SC
Practice address
765 Haywood Rd Ste I
Greenville, SC 29607-2772
Phone
(864) 520-2020
Fax
(864) 640-4400
NPI assigned
Jan 16, 2015
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114835 FL
Physician Assistant 363A00000X 3971 SC Primary
Physician Assistant 363A00000X PA.0007147 CO
Physician Assistant 363A00000X 5297 CT
Physician Assistant 363A00000X 5601010542 MI
Physician Assistant 363A00000X PA8644 MA
Physician Assistant 363A00000X C0008251 MD
Physician Assistant 363A00000X 026615-01 NY
Physician Assistant 363A00000X 0010-10878 NC
Physician Assistant 363A00000X 25MP00639000 NJ
Physician Assistant 363A00000X 10953 GA
Physician Assistant 363A00000X 085.008340 IL
Physician Assistant 363A00000X PA200001239 DC
Physician Assistant 363A00000X C5-0011694 DE
Physician Assistant 363A00000X 60541 CA

Addresses

Primary practice location

765 Haywood Rd Ste I
Greenville, SC 29607-2772

Mailing address

1 Liberty PLZ Ste 301
New York, NY 10006-1404
Phone (917) 261-4414

Other practice location 1

1 Post Office Sq
Boston, MA 02109-2106
Phone (917) 261-4414

Other practice location 2

131 S Dearborn St Ste 1025
Chicago, IL 60603-5517
Phone (917) 261-4414

Other practice location 3

1110 N Virgil Ave
Los Angeles, CA 90029-2016
Phone (917) 261-4414

Other practice location 4

905 Verdae Blvd Ste 101
Greenville, SC 29607-4098
Phone (864) 990-1910

Other practice location 5

530 5th Ave Fl 10
New York, NY 10036-5114
Phone (917) 261-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150216001479 PA Practitioner - Physician Assistant 4183949191 Reassigns benefits to 1 organization
I20231118000728 SC Practitioner - Physician Assistant 4183949191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Itrust Wellness GroupGroup PAC ID 0648532028, 18 clinicians

Practice addresses (Care Compare)

121 Commons Way
Greenville, SC 29611-3850
Phone (864) 520-2020

125 Commons Way
Greenville, SC 29611-3850

149 Commons Way
Greenville, SC 29611-3850
Phone (864) 520-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60541CAMDPeriodontist
PA.0007147COMDPhysician Assistant
5297CTMDPhysician Assistant
PA200001239DCMDPhysician Assistant
C5-0011694DEMDPhysician Assistant
PA9114835FLMDPhysician Assistant
10953GAMDPhysician Assistant
085.008340ILMDPhysician Assistant
PA8644MAMDPhysician Assistant
C0008251MDMDPhysician Assistant
5601010542MIMDPhysician Assistant
0010-10878NCMDPhysician Assistant
25MP00639000NJMDPhysician Assistant
026615-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Feb 29, 2016 Accepting new patients
St Luke's Physician Group Inc CurrentSince Feb 29, 2016 Accepting new patients
Itrust Cares LLC Past Accepting new patients
Orthopaedic Associates of Allentown Past Accepting new patients

Locations

1107 Eaton Ave
Bethlehem, PA 18018
Phone (610) 954-3012

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 6

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": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1952790719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LIBERTY PLZ STE 301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061404",
            "telephone_number": "917-261-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 HAYWOOD RD STE I",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072772",
            "telephone_number": "864-520-2020",
            "fax_number": "864-640-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Post Office Sq",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021092106",
            "country_code": "US",
            "telephone_number": "917-261-4414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 S Dearborn St Ste 1025",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606035517",
            "country_code": "US",
            "telephone_number": "917-261-4414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 N Virgil Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900292016",
            "country_code": "US",
            "telephone_number": "917-261-4414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Verdae Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074098",
            "country_code": "US",
            "telephone_number": "864-990-1910",
            "fax_number": "864-990-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 5th Ave Fl 10",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100365114",
            "country_code": "US",
            "telephone_number": "917-261-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORLOWSKY",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-16",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114835",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3971",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007147",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5297",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010542",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8644",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008251",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026615-01",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10878",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00639000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10953",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.008340",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA200001239",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0011694",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.