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

Individual provider Anesthesiology Physician · NPI 1497109466

Paul Michael Nowak, DO is an Anesthesiology in New London, Connecticut. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2016, 10 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Rhode Island.

Years since qualifying
10
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
CT, RI
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

365 Montauk Ave
New London, CT 06320-4700
Phone: (860) 442-0711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 E Adams St, Syracuse, NY 13210-2306 — (315) 464-6361

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 64887 (CT)
Anesthesiology Physician Taxonomy 207L00000X · Licence DO01017 (RI)

Record details

NPI number1497109466
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 15, 2016
Last updated in NPPESJuly 16, 2020
Certification dateJuly 16, 2020
Mailing address700 Pleasant Valley Rd N Apt C314, Groton, CT 06340-2547

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2016 (10 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New London