Michele Kissous-Hunt, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

008576 Issued in NY

Practice address

1751 York Ave
New York, NY 10128-6828

Phone

(212) 369-2490

Fax

(212) 369-2057

NPI assigned

Jun 7, 2007

Last updated

Sep 11, 2025By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1275736217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 93RD ST",
            "address_2": "APT. 23D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285547",
            "telephone_number": "212-410-2235",
            "fax_number": "212-369-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286828",
            "telephone_number": "212-369-2490",
            "fax_number": "212-369-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSOUS-HUNT",
        "first_name": "MICHELE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008576",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "008576",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE #",
            "identifier": "008576",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATION #",
            "identifier": "1052968",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxwell Johann Kissel, MD
• Scott Owen Kissel, DMD
• Alexa Kisselbach
• Irina Kissin, M.D.
• Alex Kissinson
• Bryan Kist, PT
• Ilya Kister, M.D.
• Allison Kisthardt, MS
• Kinga Kiszko, D.O
• Benjamin Matthew Kiszla, MD

• Medical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.