Individual provider Active NPI

Bryan Pardee, PA-C

  • Physician Assistant
  • East Meadow, NY
National Provider Identifier
1265070593
Registry record updated Mar 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
026236 Issued in NY
Practice address
2310 Hempstead Tpke
East Meadow, NY 11554-2035
Phone
(516) 346-5090
NPI assigned
Dec 17, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 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 026236 NY Primary

Addresses

Primary practice location

2310 Hempstead Tpke
East Meadow, NY 11554-2035

Mailing address

2310 Hempstead Tpke
East Meadow, NY 11554-2035
Phone (516) 346-5090

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
I20210322000301 NY Practitioner - Physician Assistant 6406263326 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Critical Care LLPGroup PAC ID 9234239823, 29 clinicians
Island Urgent Care PLLCGroup PAC ID 1355636440, 17 clinicians
Robert Courgi LLCGroup PAC ID 4385023761, 6 clinicians

Practice addresses (Care Compare)

101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone (516) 625-1014

221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 625-1014

2310 Hempstead Tpke
East Meadow, NY 11554-2035
Phone (516) 346-5090

8565 Jericho Tpke
Woodbury, NY 11797-1804
Phone (631) 629-6575

888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 625-1014

Hospital & facility affiliations

  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • Plainview Hospital Hospital, Plainview, NY, CCN 330331
  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026236NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Pulmonary Rehabilitation PC CurrentSince Oct 1, 2025 Accepting new patients
Robert Courgi LLC Past Accepting new patients

Locations

273 Moriches Rd
Saint James, NY 11780
Phone (631) 265-4567

300 Broadway Ave
Sayville, NY 11782
Phone (631) 300-0079

Networks

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

Organizations & group practices 5

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 5

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": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1265070593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542035",
            "telephone_number": "516-346-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542035",
            "telephone_number": "516-346-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDEE",
        "first_name": "BRYAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2021-03-14",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.