Active NPI
Kevin Gaffney, PA-C
- Physician Assistant
- Philadelphia, PA
National Provider Identifier
1033519947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 017930
- Practice address
- 1045 Frankford Ave
Apt 301
Philadelphia, PA 19125-4123 - Phone
- (516) 510-9794
- NPI assigned
- Aug 27, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 017930 | NY | Primary |
Addresses
Primary practice location
1045 Frankford Ave
Apt 301
Philadelphia, PA 19125-4123
Mailing address
1045 Frankford Ave
Apt 301
Philadelphia, PA 19125-4123
Phone (516) 510-9794
Other practice location 1
701 Seneca St Ste 646C
Buffalo, NY 14210-1372
Phone (716) 995-4450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017930 | NY | MD | Physician Assistant |
Interoperability endpoints
- ms_kgaffne5@landmarkhealth-direct.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- West Chester, PA
- NPI 1023044278
-
- Critical Care Medicine (Internal Medicine) Physician
- Buffalo, NY
- NPI 1720805963
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1033519947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 FRANKFORD AVE",
"address_2": "APT 301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191254123",
"telephone_number": "516-510-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 FRANKFORD AVE",
"address_2": "APT 301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191254123",
"telephone_number": "516-510-9794"
}
],
"practiceLocations": [
{
"address_1": "701 Seneca St Ste 646C",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142101372",
"country_code": "US",
"telephone_number": "716-995-4450",
"fax_number": "844-206-7424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAFFNEY",
"first_name": "KEVIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-27",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "017930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.