Individual provider Active NPI

Anna Elizabeth Kokolas, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1306562558
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0008677 Issued in MD
Practice address
220 Front St
New York, NY 10038-2033
Phone
(212) 385-3700
NPI assigned
Oct 18, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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 C0008677 MD Primary

Addresses

Primary practice location

220 Front St
New York, NY 10038-2033

Mailing address

220 Front St
New York, NY 10038-2033
Phone (301) 980-5489

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
I20250620002506 NY Practitioner - Physician Assistant 4284146762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bobby Buka, M.D., P.C.Group PAC ID 0547351140, 140 clinicians

Practice addresses (Care Compare)

1425 2ND Ave
New York, NY 10021-3304
Phone (212) 385-3700

214 Sullivan St
New York, NY 10012-1354
Phone (212) 385-3700

220 Front St
New York, NY 10038-2033
Phone (212) 385-3700

7 W 24TH St
New York, NY 10010-3212
Phone (212) 385-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0008677MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bobby Buka, M.D., P.C. CurrentSince Apr 17, 2025 Accepting new patients
Derm Specs of PA PLLC CurrentSince Feb 25, 2024 Accepting new patients
Atlas Infectious Disease Practice PLLC Past Accepting new patients
Out East Medical PastSince Jun 15, 2021 Accepting new patients
Mount Sinai Hospital Past Accepting new patients

Locations

3179 Steinway St
Astoria, NY 11103

1163 Myrtle Ave
Brooklyn, NY 11206

1027 46th Ave
Long Island City, NY 11101
Phone (347) 257-3696

1027 46th Ave
Fl 1
Long Island City, NY 11101

1425 2nd Ave
New York, NY 10021

2121 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (718) 534-8190

214 Sullivan St
New York, NY 10012

625 10th Ave
New York, NY 10036

3531 Long Beach Rd
Oceanside, NY 11572

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22363/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1306562558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FRONT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382033",
            "telephone_number": "301-980-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FRONT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382033",
            "telephone_number": "212-385-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKOLAS",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.