NPIMap

Individual provider Active NPI

Sean L. Folliard, R.P.A.-C

  • Physician Assistant
  • Garden City, NY
National Provider Identifier
1184747123
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008355 Issued in NY
Practice address
233 7TH St
Suite 101
Garden City, NY 11530-5747
Phone
(516) 742-5344
Fax
(516) 742-3740
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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 008355 NY Primary

Addresses

Primary practice location

233 7TH St
Suite 101
Garden City, NY 11530-5747

Mailing address

233 7TH St Ste 101
Garden City, NY 11530-5747
Phone (516) 742-5344

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sfolliard222087@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081208000360 NY Practitioner - Physician Assistant 2769543834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
Winthrop Community Medical Affiliates, P.C. CurrentSince Mar 1, 2016 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
Medical Group of Mineola, PC Past Accepting new patients

Locations

700 Hicksville Rd
Ste 204
Bethpage, NY 11714
Phone (516) 576-5812

1401 Franklin Ave
Garden City, NY 11530
Phone (516) 541-0300

1111 Franklin Ave
Garden City, NY 11530
Phone (516) 222-8600

233 7th St
Ste 101
Garden City, NY 11530
Phone (516) 248-7444

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

875 Old Country Rd
Ste 102
Plainview, NY 11803
Phone (516) 605-2900

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1184747123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 7TH ST STE 101",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305747",
            "telephone_number": "516-742-5344",
            "fax_number": "516-742-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 7TH ST",
            "address_2": "SUITE 101",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305747",
            "telephone_number": "516-742-5344",
            "fax_number": "516-742-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLLIARD",
        "first_name": "SEAN",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "R.P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfolliard222087@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "233 7th St",
            "address_2": "SUITE 101",
            "city": "Garden City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115305747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.