Individual provider Active NPI

Christopher Byrne, PA

  • Physician Assistant
  • Fresh Meadows, NY
National Provider Identifier
1306846415
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008866-1 Issued in NY
Practice address
5847 188TH St
Fresh Meadows, NY 11365-2201
Phone
(718) 357-8200
Fax
(718) 357-5770
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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 008866-1 NY Primary

Addresses

Primary practice location

5847 188TH St
Fresh Meadows, NY 11365-2201

Mailing address

6 Lowell Ave
New Hyde Park, NY 11040-2810
Phone (516) 326-4160

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
I20041022000003 NY Practitioner - Physician Assistant 3274594387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

Practice addresses (Care Compare)

10460 Queens Blvd
Suite 1C
Forest Hills, NY 11375-7301
Phone (718) 275-5555

1078 Oaks Dr
FL 2
Franklin Square, NY 11010-1941
Phone (516) 834-2500

175 I U Willets Rd
Suite 2
Albertson, NY 11507-1342
Phone (516) 625-6222

4 Technology Dr
Suite 180
East Setauket, NY 11733-4068
Phone (631) 689-3188

510 Montauk Hwy
West Islip, NY 11795-4422
Phone (631) 587-1132

5847 188TH St
Fresh Meadows, NY 11365-2201
Phone (718) 357-8200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008866-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Buglino DO PLLC Past Accepting new patients
Dermatologic Surgery of Lexington Ave PC Past Accepting new patients
Howard D. Solomon, DO, PC Past Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: cbyrne@advderm.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1306846415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOWELL AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402810",
            "telephone_number": "516-326-4160",
            "fax_number": "516-437-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 188TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652201",
            "telephone_number": "718-357-8200",
            "fax_number": "718-357-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "CHRISTOPHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008866-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.