Individual provider Active NPI

Estelle Hixon, PHYSICIAN ASSISTANT

  • Physician Assistant
  • New York, NY
National Provider Identifier
1033970447
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
820 2ND Ave RM 3a
New York, NY 10017-4534
Phone
(212) 661-3376
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

820 2ND Ave RM 3a
New York, NY 10017-4534

Mailing address

820 2ND Ave RM 3a
New York, NY 10017-4534
Phone (212) 661-3376

Other practice location 1

479 County Road 520
Marlboro, NJ 07746-1085
Phone (732) 702-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250304000511 NJ Practitioner - Physician Assistant 5597286823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Dermatology and Aesthetics Center LLCGroup PAC ID 3678822608, 4 clinicians

Practice addresses (Care Compare)

479 County Rd
520 Suite A201
Marlboro, NJ 07746-1087
Phone (732) 702-1212

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of North Jersey Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: estelle.hixon.1@7628.direct.athenahealth.com

Organizations & group practices 2

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": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1033970447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 2ND AVE RM 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174534",
            "telephone_number": "212-661-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 2ND AVE RM 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174534",
            "telephone_number": "212-661-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "479 County Road 520",
            "address_purpose": "LOCATION",
            "city": "Marlboro",
            "state": "NJ",
            "postal_code": "077461085",
            "country_code": "US",
            "telephone_number": "732-702-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIXON",
        "first_name": "ESTELLE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.