Active NPI
Kalyn Cedrowski
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00374100
- Practice address
- 14 W 14TH St
New York, NY 10011-7524 - Phone
- (212) 390-0558
- NPI assigned
- Sep 3, 2015
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00374100 | NJ | Primary |
Addresses
Primary practice location
14 W 14TH St
New York, NY 10011-7524
Mailing address
14 W 14TH St
New York, NY 10011-7524
Phone (212) 390-0558
Other practice location 1
1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020775 | NY | MD | Pediatric Occupational Therapist |
| 25MP00374100 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Summit Medical Group PA | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients |
Locations
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435
1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435
Interoperability endpoints
- kalyn.cedrowski.1@2983.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
dba CityMD Urgent Care
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
dba CityMD Urgent Care
- Urgent Care Clinic/Center
- Bellmore, NY
- NPI 1982903506
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093183345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 W 14TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117524",
"telephone_number": "212-390-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 W 14TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117524",
"telephone_number": "212-390-0558"
}
],
"practiceLocations": [
{
"address_1": "1 Clara Maass Dr",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "NJ",
"postal_code": "071093550",
"country_code": "US",
"telephone_number": "973-450-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CEDROWSKI",
"first_name": "KALYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00374100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.