Kimberly Eva Sewnarine, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

015062 Issued in NY

Practice address

3451 9TH St
1B
Long Island City, NY 11106-5161

Phone

(718) 578-8578

NPI assigned

Sep 19, 2011

Last updated

Sep 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1114209954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6465",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111060465",
            "telephone_number": "718-578-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 9TH ST",
            "address_2": "1B",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111065161",
            "telephone_number": "718-578-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWNARINE",
        "first_name": "KIMBERLY",
        "middle_name": "EVA",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sensory City Pediatric Occupational Therapy
• Donghyun Seo, D.P.T
• Erica Dawn Seppala, RN, BSN, MPH, MA
• Fiona Serjanaj, OTR/L
• Andrea Marie Sett, M.D.
• Akshaykumar Shah
• Harshida R Shah, MD
• Jaresh Shah, RPH, MBA
• Kesha Shah, R.N.
• Mohammed Shahabuddin, D.D.S

• Physician Assistant in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.