Brenda Maria Alves Passoni, PA

Key facts

NPI

1043021744

Entity type

Individual (NPI type 1)

Primary specialty

Medical Physician Assistant 363AM0700X

Practice address

155 Main St
Brewster, NY 10509-1521

Phone

(914) 632-2737

NPI assigned

Jan 14, 2025

Sex

Female

Sole proprietor

No

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.

• Open Door Family Medical Center Inc Federally Qualified Health Center (FQHC) · Port Chester, NY · NPI 1285893719
  Medicare reassignment NPD NY
• Open Door Family Medical Center Inc Federally Qualified Health Center (FQHC) · Saugerties, NY · NPI 1780166645
  NPD
• Open Door Family Medical Center, Inc. Federally Qualified Health Center (FQHC) · Ossining, NY · NPI 1467487637
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

Practice roles (3 of 7)

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EAJCAA

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 14, 2025.

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1043021744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HILLANDALE RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068113610",
            "telephone_number": "914-620-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAIN ST",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091521",
            "telephone_number": "914-632-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVES PASSONI",
        "first_name": "BRENDA",
        "middle_name": "MARIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexander Alers
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• Jennifer Lynn Anderson, CCC-SLP, TSSLD
• Lorraine Anderson
• Aon Physical Therapy and Wellness, PLLC
• Catherine Elizabeth Apollonio, RN

All providers in Brewster, NY · Medical Physician Assistant in New York