Maha Komal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

016158 Issued in NY

Practice address

JFK International Airport BLDG 14
West Wing Suite 14a
Jamaica, NY 11430

Phone

(718) 656-1245

NPI assigned

Jul 31, 2014

Sex

Female

Sole proprietor

No

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

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Divinity Medical Services PLLC

  • Urgent Care Clinic/Center
  • Yorktown Heights, NY
  • NPI 1497159560
  Medicare reassignment Care Compare group
• Excel Urgent Care of Astoria PLLC

  • Urgent Care Clinic/Center
  • Howard Beach, NY
  • NPI 1235434036
  Medicare reassignment
• Excel Urgent Care of NHP PLLC

  • Urgent Care Clinic/Center
  • New Hyde Park, NY
  • NPI 1952652281
  Medicare reassignment
• Hicksville Family Medical Care, PLLC

  • Family Medicine Physician
  • Mineola, NY
  • NPI 1770813792
  Medicare reassignment
• Prompt Urgent Care,PLLC

  • Emergency Medicine Physician
  • Staten Island, NY
  • NPI 1598296741
  Medicare reassignment
• Statcare Urgent & Walk in Medical Care PLLC

  • Urgent Care Clinic/Center
  • Mineola, NY
  • NPI 1336426667
  Medicare reassignment
• Doral Pharmacy LLC

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1558051482
  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1114335312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15115 84TH ST",
            "address_2": "APT 3K",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141835",
            "telephone_number": "347-453-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JFK INTERNATIONAL AIRPORT BLDG 14",
            "address_2": "WEST WING SUITE 14A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11430",
            "telephone_number": "718-656-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMAL",
        "first_name": "MAHA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshaun Allison Knight, SOCIAL WORK INTERN
• Miriam Kogan, LMHC
• Folasade Mosobalaje Kolade, RN, PHD
• Mary Joseph Kollappallil, PH.D
• James Richard Kolodny, M.D.
• Sarah Komalnauth
• Uma Komatreddy, DO
• Vame Kone
• Jihyun Kong
• Jahong Koo

• Physician Assistant in Jamaica, NY
• Providers in Jamaica, 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 Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.