Individual provider Active NPI

Kristina Rajic, PA-C

  • Medical Physician Assistant
  • North Miami Beach, FL
National Provider Identifier
1023638509
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
024944 Issued in NY
Practice address
100 NW 170TH St Ste 301
North Miami Beach, FL 33169-5511
Phone
(347) 840-4887
NPI assigned
Apr 24, 2020
Last updated
Apr 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 024944 NY Primary

Addresses

Primary practice location

100 NW 170TH St Ste 301
North Miami Beach, FL 33169-5511

Mailing address

240 NW 25TH St Apt 323
Miami, FL 33127-4345

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200917001551 NY Practitioner - Physician Assistant 7214355536 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians

Practice addresses (Care Compare)

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Oct 25, 2022 Accepting new patients
New York University CurrentSince Jul 16, 2023 Accepting new patients
White Plains Physician Services PC CurrentSince Jan 28, 2025 Accepting new patients
New York University CurrentSince Jul 16, 2023 Accepting new patients
Jamaica Hospital CurrentSince Aug 3, 2020 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Oct 25, 2022 Accepting new patients
Jamaica Hospital CurrentSince Aug 3, 2020 Accepting new patients
East Post Road Medical Services PC CurrentSince Sep 25, 2025 Accepting new patients

Locations

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

50 Water St
Fl 3
New York, NY 10004

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1023638509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 NW 25TH ST APT 323",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST STE 301",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695511",
            "telephone_number": "347-840-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJIC",
        "first_name": "KRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "024944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.