Carolyn Kwa, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

319637 Issued in NY

Practice address

279 Main St
New Paltz, NY 12561-1623

Phone

(845) 255-2930

Fax

(845) 255-3089

NPI assigned

Apr 18, 2019

Last updated

Sep 29, 2022By the provider in NPPES

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224
• Ellenville Regional Hospital Hospital, Ellenville, NY, CCN 331310
• Westchester Medical Center Hospital, Valhalla, NY, CCN 330234

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

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

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.

• The Institute for Family Health

  dba Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1295729408
  Medicare reassignment Care Compare group NPD
• The Institute for Family Health

  • Family Medicine Physician
  • New Paltz, NY
  • NPI 1740554989
  NPD
• The Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1972877017
  NPD
• The Institute for Family Health

  • Family Medicine Physician
  • Kingston, NY
  • NPI 1194098251
  NPD (past)

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

• Healthalliance Hospital Marys Avenue Campus

  • General Acute Care Hospital
  • Kingston, NY
  • NPI 1932182599
  Care Compare affiliation
• Westchester County Health Care Corporation

  dba Westchester Medical Center

  • General Acute Care Hospital
  • Valhalla, NY
  • NPI 1932280666
  Care Compare affiliation
• Westchester-Ellenville Hospital, Inc.

  • Critical Access Hospital
  • Ellenville, NY
  • NPI 1073525341
  Care Compare affiliation

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1255994927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014626",
            "telephone_number": "845-802-7600",
            "fax_number": "845-338-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611623",
            "telephone_number": "845-255-2930",
            "fax_number": "845-255-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWA",
        "first_name": "CAROLYN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "319637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Elaine Koller, MA
• Alan J Konner, R.PH.
• Raphaela Kramer
• Susan Krauss, LMSW
• Susan Diana Krebs, M.S., CCC/SLP
• Marika Lafemina, L.AC
• Michael Lafemina, L.AC.
• Andrew Joseph Lafrance, PHARMD
• Harold Stephen Larsen, PHD, LMHC
• Stella Claire Laufer-Turk, AU.D.

• Family Medicine Physician in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.