Individual provider Active NPI

Karyn Pagano, P.A.

  • Medical Physician Assistant
  • Farmingville, NY
National Provider Identifier
1104940873
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
011373 Issued in NY
Practice address
1055 Portion Rd
Suite 11W
Farmingville, NY 11738-2299
Phone
(631) 736-4321
Fax
(631) 736-4370
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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 011373 NY Primary

Addresses

Primary practice location

1055 Portion Rd
Suite 11W
Farmingville, NY 11738-2299

Mailing address

1055 Portion Rd
Suite 11W
Farmingville, NY 11738-2299
Phone (631) 736-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1104940873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 PORTION RD",
            "address_2": "SUITE 11W",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382299",
            "telephone_number": "631-736-4321",
            "fax_number": "631-736-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 PORTION RD",
            "address_2": "SUITE 11W",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382299",
            "telephone_number": "631-736-4321",
            "fax_number": "631-736-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "KARYN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.