Individual provider Active NPI

Kunti Hanif, PA-C

  • Physician Assistant
  • South Richmond Hill, NY
National Provider Identifier
1083156244
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
20348 Issued in NY
Practice address
10426 123Rd St
FL2
South Richmond Hill, NY 11419-2906
Phone
(929) 233-2571
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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 20348 NY Primary

Addresses

Primary practice location

10426 123Rd St
FL2
South Richmond Hill, NY 11419-2906

Mailing address

10426 123Rd St
2FL
South Richmond Hill, NY 11419-2906
Phone (929) 233-3571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170130002766 NY Practitioner - Physician Assistant 4688956485 Reassigns benefits to 6 organizations
I20230928000151 NJ Practitioner - Physician Assistant 4688956485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3198

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 960-6205

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

2016 Bronxdale Ave
Bronx, NY 10462-3388
Phone (718) 822-1515

4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20348NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Nov 1, 2024 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jul 7, 2021 Accepting new patients
Jamaica Hospital CurrentSince Aug 1, 2020 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Nov 1, 2024 Accepting new patients
Jamaica Hospital CurrentSince Aug 1, 2020 Accepting new patients
SBH Physicians, PC Physician Assistant Past Accepting new patients

Locations

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

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

Organizations & group practices 11

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": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1083156244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10426 123RD ST",
            "address_2": "2FL",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192906",
            "telephone_number": "929-233-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10426 123RD ST",
            "address_2": "FL2",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192906",
            "telephone_number": "929-233-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIF",
        "first_name": "KUNTI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "20348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.