Active NPI
Bryan Pardee, PA-C
- Physician Assistant
- East Meadow, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 026236
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- North Shore University Hospital
- St Charles Hospital
- Plainview Hospital
- Northwell Hospital Glen Cove
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026236 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Pulmonary Rehabilitation PC | Current | 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Woodbury, NY
- NPI 1174269039
-
- Urgent Care Clinic/Center
- East Meadow, NY
- NPI 1376991414
-
- Physician Assistant
- Islip, NY
- NPI 1053486670
-
- Pulmonary Disease Physician
- Huntington, NY
- NPI 1699284281
-
- Internal Medicine Physician
- West Islip, NY
- NPI 1124184544
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Cove, NY
- NPI 1295743060
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Plainview, NY
- NPI 1083621130
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.