Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas John Tarnowski, PA

Individual provider Physician Assistant · NPI 1104179530

Nicholas John Tarnowski, PA is a Physician Assistant in Johnson City, New York. Qualified in 2012, 14 years ago. Practices with Kansas University Physicians Inc, a 1,819-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

33-57 Harrison St
Johnson City, NY 13790-2107
Phone: (607) 763-6412
Fax: (607) 763-5854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 016143 (NY)

Record details

NPI number1104179530
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 23, 2012
Last updated in NPPESDecember 23, 2013
Mailing address346 Grand Ave, Johnson City, NY 13790-2580

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Kansas University Physicians Inc — 1819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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