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KELLY DOWIAK
NPI 1023699725
Nurse Practitioner - Family in Hoboken, NJ

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment
77 PARK AVE APT 903, HOBOKEN, NJ 07030(908) 414-0478 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Dowiak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY DOWIAK (NPI 1023699725) is an individual family provider in Hoboken, New Jersey, licensed in New Jersey (26NJ01102900) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023699725
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY DOWIAK
Location Address77 PARK AVE APT 903Hoboken, NJ 07030-7111
Mailing Address77 Park Ave Apt 903Hoboken, NJ 07030-7111 · (908) 414-0478
Phone(908) 414-0478
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1023699725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NJ · 26NJ01102900✔ Licensed in NY · 345706
77 PARK AVE APT 903, Hoboken, NJ 07030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Dowiak is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002205804
PECOS Enrollment IDI20211117001112
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelly Dowiak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Drx Paramus, LLC
16 mi
Urgent Care
67 E RIDGEWOOD AVE, UNIT C
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 144 clinicians in this Medicare group
NPI 1316272685 (201) 262-2010
Jersey Irish Medical
30 mi
Urgent Care
601 W. UNION AVE.
Bound Brook, NJ 08805
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
NPI 1144575739 (732) 469-3627
The Radiology Group Of New Jersey, LLC
42 mi
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
NPI 1174010540 (908) 979-1621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services74 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
29 services28 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Dowiak's NPI number?

The NPI number for Kelly Dowiak is 1023699725. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Kelly Dowiak located?

Kelly Dowiak practices at 77 Park Ave Apt 903, Hoboken, NJ 07030. The listed phone number is (908) 414-0478.

What is Kelly Dowiak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Dowiak enrolled in Medicare?

Yes. Kelly Dowiak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelly Dowiak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Dowiak reassigns Medicare benefits to 3 organizations: Drx Paramus, LLC (Paramus, NJ), Jersey Irish Medical (Bound Brook, NJ) and The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Dowiak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Dowiak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Kelly Dowiak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Dowiak was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.