Kerri Lyn Quail, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

012449-1 Issued in NY

Practice address

92 Broadway
Suite 204
Greenlawn, NY 11740-1328

Phone

(631) 239-5515

NPI assigned

Apr 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Centerport Family Medicine

  • Clinic/Center
  • Centerport, NY
  • NPI 1770582637
  NPD (past)
• Island Medicine, PLLC

  • Clinic/Center
  • Centerport, NY
  • NPI 1477724615
  NPD (past)
• The Long Island Home

  dba South Oaks Hospital

  • Psychiatric Hospital
  • Amityville, NY
  • NPI 1821394016
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1073788600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SILLS CT",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211634",
            "telephone_number": "631-757-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BROADWAY",
            "address_2": "SUITE 204",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401328",
            "telephone_number": "631-239-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAIL",
        "first_name": "KERRI",
        "middle_name": "LYN",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012449-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Marie Portillo, MA, LCAT, ATR-BC
• Trevor Tomesh Prashad, DO
• Premise Health of New York Medical, P.C (BAE Systems Greenlawn NY)
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy PC
• Rachel Saks Nutrition LLC
• Alyssa Rehm
• Jeanette M. Richardt, LCSW
• Tyler Riebl, MA
• Maria Rivera

• Physician Assistant in Greenlawn, NY
• Providers in Greenlawn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.