Individual provider Active NPI

Heather Puleo, PA

  • Physician Assistant
  • Garden City, NY
National Provider Identifier
1104591155
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1300 Franklin Ave Ste Ul3A
Garden City, NY 11530-1885
Phone
(516) 747-8900
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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 Primary

Addresses

Primary practice location

1300 Franklin Ave Ste Ul3A
Garden City, NY 11530-1885

Mailing address

93 Lighthouse Rd
Babylon, NY 11702-4305
Phone (631) 278-1846

Other practice location 1

93 Lighthouse Rd
Babylon, NY 11702-4305
Phone (631) 278-1846

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hpuleo486339@nyumc.direct-ci.com

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
I20220208001614 NY Practitioner - Physician Assistant 8426441841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1300 Franklin Ave
Suite Ul3A
Garden City, NY 11530-1885
Phone (516) 747-8900

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
027437NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Feb 21, 2022 Accepting new patients
New York University CurrentSince Feb 21, 2022 Accepting new patients

Locations

1300 Franklin Ave
Ste UL3A
Garden City, NY 11530
Phone (516) 663-3015

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

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

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

Organizations & group practices 2

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1104591155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 LIGHTHOUSE RD",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117024305",
            "telephone_number": "631-278-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE STE UL3A",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301885",
            "telephone_number": "516-747-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Lighthouse Rd",
            "address_purpose": "LOCATION",
            "city": "Babylon",
            "state": "NY",
            "postal_code": "117024305",
            "country_code": "US",
            "telephone_number": "631-278-1846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULEO",
        "first_name": "HEATHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hpuleo486339@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "1300 Franklin Ave Ste Ul3A",
            "city": "Garden City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115301885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.