Individual provider Active NPI

Sumaya Javaid, PA-C

  • Medical Physician Assistant
  • Elmont, NY
National Provider Identifier
1043904204
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
029859-01 Issued in NY
Practice address
1315 Star Ave
Elmont, NY 11003-3351
Phone
(516) 499-0208
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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 029859-01 NY Primary

Addresses

Primary practice location

1315 Star Ave
Elmont, NY 11003-3351

Mailing address

1315 Star Ave
Elmont, NY 11003-3351
Phone (516) 499-0208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231212003885 NY Practitioner - Physician Assistant 7416306741 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029859-01NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Nov 6, 2023 Accepting new patients
Ag Urgent Care, P.C. CurrentSince Jan 27, 2026 Accepting new patients
Kings Medical Family Practice PC CurrentSince Jan 27, 2026 Accepting new patients
New York University CurrentSince Nov 6, 2023 Accepting new patients

Locations

1771 Utica Ave
Brooklyn, NY 11234
Phone (718) 209-0888

1295 Broadway
Brooklyn, NY 11221
Phone (718) 682-3903

9525 Church Ave
Brooklyn, NY 11212
Phone (718) 513-6178

1576 Flatbush Ave
Ste 1
Brooklyn, NY 11210

16814 Jamaica Ave
Jamaica, NY 11432
Phone (718) 650-5553

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: sjavaid579180@nyumc.direct-ci.com

Organizations & group practices 4

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1043904204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 STAR AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033351",
            "telephone_number": "516-499-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 STAR AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033351",
            "telephone_number": "516-499-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVAID",
        "first_name": "SUMAYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "029859-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

Verify at the official NPI Registry.