Individual provider Active NPI

Hani Members, RPA-C

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1093972671
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
012286-1 Issued in NY
Practice address
50 Cooper SQ # B
New York, NY 10003-7108
Phone
(212) 677-3400
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2008

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 012286-1 NY Primary

Addresses

Primary practice location

50 Cooper SQ # B
New York, NY 10003-7108

Mailing address

76 Locust Dr
Amityville, NY 11701-1728
Phone (631) 608-8384

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
I20160803002650 NY Practitioner - Physician Assistant 3779703814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CS Medical Associates, PCGroup PAC ID 9335401454, 63 clinicians

Practice addresses (Care Compare)

100 Granny Rd
Suite 1
Farmingville, NY 11738-2879
Phone (631) 696-4357

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012286-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CS Medical Associates, P.C. CurrentSince Sep 9, 2024 Accepting new patients
CS Medical Associates, P.C. Past Accepting new patients

Locations

100 Granny Rd
Ste 1
Farmingville, NY 11738
Phone (631) 666-1234

1377 Motor Pkwy
Ste 102
Islandia, NY 11749

2 Coraci Blvd
Ste 1516
Shirley, NY 11967
Phone (631) 315-2320

2 Coraci Blvd
Ste 16
Shirley, NY 11967

Interoperability endpoints

  • Direct secure messaging: hmembers@victoryrecovery.medentdirect.com

Organizations & group practices 3

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1093972671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 LOCUST DR",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011728",
            "telephone_number": "631-608-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 COOPER SQ # B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100037108",
            "telephone_number": "212-677-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMBERS",
        "first_name": "HANI",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012286-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.