Active NPI
Melihat Fidan Nowak, MD
- Psychiatry Physician
- Elmira, NY
National Provider Identifier
1982995726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 278341
- Practice address
- 555 Saint Josephs Blvd
Elmira, NY 14901-3223 - Phone
- (607) 737-7002
- NPI assigned
- Apr 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 278341 | NY | Primary |
Addresses
Primary practice location
555 Saint Josephs Blvd
Elmira, NY 14901-3223
Mailing address
571 Saint Josephs Blvd
2ND Floor
Elmira, NY 14901-3230
Phone (607) 271-2050
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mfidannowak146563@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | mfidannowak146563@direct.urmc.rochester.edu | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278341 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Rochester | Psychiatry | Current | Accepting new patients |
| St. Joseph'S Hospital Yonkers | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| St Josephs Hospital Yonkers | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| St. Joseph'S Hospital & Medical Center | Psychiatry | Current | Accepting new patients |
| Nys Office of Mental Health | Past | Accepting new patients |
Locations
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
275 North St
Harrison, NY 10528
Phone (914) 925-5211
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- mfidannowak146563@direct.urmc.rochester.edu
Organizations & group practices 7
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Yonkers, NY
- NPI 1356316921
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- General Acute Care Hospital
- Harrison, NY
- NPI 1679883037
-
- Psychiatry Physician
- Yonkers, NY
- NPI 1245204908
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- Psychiatric Hospital
- Buffalo, NY
- NPI 1922162197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1982995726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 SAINT JOSEPHS BLVD",
"address_2": "2ND FLOOR",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013230",
"telephone_number": "607-271-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SAINT JOSEPHS BLVD",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013223",
"telephone_number": "607-737-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIDAN NOWAK",
"first_name": "MELIHAT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "278341",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mfidannowak146563@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mfidannowak146563@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.