Individual provider Active NPI

Donna P Coules, P.A

  • Medical Physician Assistant
  • Cedarhurst, NY
National Provider Identifier
1043511298
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
004339 Issued in NY
Practice address
222 Rockaway Tpke
Suite 1
Cedarhurst, NY 11516-1833
Phone
(516) 239-1800
Fax
(516) 239-5553
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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 004339 NY Primary

Addresses

Primary practice location

222 Rockaway Tpke
Suite 1
Cedarhurst, NY 11516-1833

Mailing address

2499 Farmers Ave
Bellmore, NY 11710-3814
Phone (516) 809-5415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004339NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1043511298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 FARMERS AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103814",
            "telephone_number": "516-809-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ROCKAWAY TPKE",
            "address_2": "SUITE 1",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161833",
            "telephone_number": "516-239-1800",
            "fax_number": "516-239-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULES",
        "first_name": "DONNA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "P.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "004339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.