Active NPI
Muana Mbuyi Kabala, PA
- Physician Assistant
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 011965
- Practice address
- 8268 164TH St
Jamaica, NY 11432-1121 - Phone
- (718) 883-3225
- Fax
- (718) 883-6193
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 011965 | NY | Primary |
| Physician Assistant | 363A00000X | P46654 | NY |
Addresses
Primary practice location
8268 164TH St
Jamaica, NY 11432-1121
Mailing address
7901 Broadway
Managed Care, D1-01
Elmhurst, NY 11373-1329
Phone (718) 334-1921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medstar Urgent Care LLC
Practice addresses (Care Compare)
11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505
12111 Darnestown Rd
Gaithersburg, MD 20878-3211
Phone (301) 926-3095
18045 Georgia Ave
Olney, MD 20832-2237
Phone (301) 774-8026
1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960
20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720
228 7TH St SE
Washington, DC 20003-4306
Phone (202) 698-0795
350 Fortune Ter
Suite D
Potomac, MD 20854-2910
Phone (443) 584-5323
4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258
6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890
6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800
6500 Baltimore National Pike
Catonsville, MD 21228-4200
Phone (410) 807-8067
7698 Dorchester Blvd
Hanover, MD 21076-1946
Phone (443) 755-9253
8125 Ritchie Hwy
Suite H
Pasadena, MD 21122-6925
Phone (410) 544-2075
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011965 | NY | MD | Clinical Child & Adolescent Psychologist |
| P46654 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Mep Health, LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Jamaica Hospital | Past | Accepting new patients |
Locations
1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
2401 Brandermill Blvd
Ste 100
Gambrills, MD 21054
Phone (410) 224-6483
7698 Dorchester Blvd
Ste 204
Hanover, MD 21076
12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
Interoperability endpoints
- mkabala11549@nychhc.direct-ci.com
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1912911215
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1639034960
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1942623319
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1235205709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 BROADWAY",
"address_2": "MANAGED CARE, D1-01",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731329",
"telephone_number": "718-334-1921",
"fax_number": "718-334-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8268 164TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321121",
"telephone_number": "718-883-3225",
"fax_number": "718-883-6193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABALA",
"first_name": "MUANA",
"middle_name": "MBUYI",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "011965",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "P46654",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.