Individual provider Active NPI

Daniel Arenas Jr., P.A.

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1033284377
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05020 Issued in NC
Practice address
451 Clarkson Ave
Brooklyn, NY 11203-2057
Phone
(718) 245-4709
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 011194 NY
Physician Assistant 363A00000X 0010-05020 NC Primary

Addresses

Primary practice location

451 Clarkson Ave
Brooklyn, NY 11203-2057

Mailing address

815 Fox St Apt 1a
Bronx, NY 10459-5150
Phone (718) 860-1344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080920000098 NY Practitioner - Physician Assistant 5698842409 Reassigns benefits to 2 organizations
I20140815000035 NC Practitioner - Physician Assistant 5698842409 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Port City Emergency Physicians LLP Physician Assistant CurrentSince May 1, 2018 Accepting new patients
Gastonia Physician Services, PLLC CurrentSince Jul 1, 2014 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

120 Riverview St
Franklin, NC 28734
Phone (800) 627-5670

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

Interoperability endpoints

  • Direct secure messaging: darenas982839@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1033284377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 FOX ST APT 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104595150",
            "telephone_number": "718-860-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032057",
            "telephone_number": "718-245-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENAS",
        "first_name": "DANIEL",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "011194",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.