Active NPI
Karyn Pagano, P.A.
- Medical Physician Assistant
- Farmingville, NY
National Provider Identifier
1104940873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 011373
- 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
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 |
|---|---|---|---|---|
| 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.