Individual provider Active NPI

Gina Yi Siaw

  • Physician Assistant
  • New Hyde Park, NY
National Provider Identifier
1184369431
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
99 Sperry Blvd
New Hyde Park, NY 11040-3817
Phone
(646) 331-6563
NPI assigned
May 2, 2022
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 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 NU Primary

Addresses

Primary practice location

99 Sperry Blvd
New Hyde Park, NY 11040-3817

Mailing address

99 Sperry Blvd
New Hyde Park, NY 11040-3817

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
I20230307000442 NY Practitioner - Physician Assistant 1052784378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Hofstra North Shore - Lij School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians

Practice addresses (Care Compare)

100 TH St and Madison Ave
New York, NY 10029-6503
Phone (212) 241-6500

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 241-6426

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 241-6426

1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028517NYMDOral and Maxillofacial Pathology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based CurrentSince Feb 1, 2023 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

300 Cadman Plz W
Fl 18
Brooklyn, NY 11201
Phone (929) 210-6000

3131 Kings Hwy
Ste A4
Brooklyn, NY 11234
Phone (718) 758-1500

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

1000 10th Ave
Fl 4
New York, NY 10019
Phone (212) 523-8332

1090 Amsterdam Ave
Fl 3
New York, NY 10025
Phone (212) 523-8333

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1468 Madison Ave
#175
New York, NY 10029
Phone (212) 241-8333

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

425 W 59th St
Ste 6C
New York, NY 10019
Phone (212) 523-7786

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1184369431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 SPERRY BLVD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SPERRY BLVD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403817",
            "telephone_number": "646-331-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAW",
        "first_name": "GINA",
        "middle_name": "YI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.