Kay Azzara, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

013088-1 Issued in NY

Practice address

327 E Main St
Smithtown, NY 11787

Phone

(631) 979-0909

Fax

(631) 979-0455

NPI assigned

Apr 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Donna a Serure, Dermatology and Cosmetic Laser Surgery, PCGroup PAC ID 5991694564, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

64.69 of 100Reported as individual

Quality

45.07

Promoting interoperability

83

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Dr Donna a Serure, Dermatology & Cosmetic Laser Surgery, PC

  • Dermatology Physician
  • Smithtown, NY
  • NPI 1902959893
  Medicare reassignment Care Compare group
• Rockville Dermatology, PC

  • Dermatology Physician
  • Rockville Centre, NY
  • NPI 1356349153
  Medicare reassignment NPD
• Laserderm Dermatology & Cosmetic Laser Surgery

  • Dermatopathology Physician
  • Smithtown, NY
  • NPI 1942150131
  NPD

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1255574026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872905",
            "telephone_number": "631-979-0909",
            "fax_number": "631-979-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-979-0909",
            "fax_number": "631-979-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZARA",
        "first_name": "KAY",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013088-1",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "013088-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avalon Gardens Rehab and Health Care Center LLC
• Avalon Gardens Rehabilitation & Health Care Ctr LLC (Avalon Gardens Rehabilitation and Health Care)
• Avalon Gardens Rehabilitation and Health Care Center,LLC
• Nida Azamy
• Farzana Aziz, M.D.
• Sabrina Badolato
• Samuel Baharestani, M.D.
• Melissa M Bahr, BSW
• Andrew N. Bainnson, M.D.
• Raine Keegan Baker, LCSW

• Physician Assistant in Smithtown, NY
• Providers in Smithtown, 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 Jun 13, 2018; 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.