Taylor H Abo-Hamzy, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0231821 Issued in NY

Practice address

994 W Jericho Tpke Ste 201
Smithtown, NY 11787-3234

Phone

(631) 265-4200

Fax

(631) 265-4290

NPI assigned

Mar 8, 2019

Last updated

Mar 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Kim Medical of New York PLLC

  • Primary Care Clinic/Center
  • Farmingdale, NY
  • NPI 1770230039
  Medicare reassignment

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1316405368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE STE 202A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873211",
            "telephone_number": "631-265-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE STE 201",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873234",
            "telephone_number": "631-265-4200",
            "fax_number": "631-265-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABO-HAMZY",
        "first_name": "TAYLOR",
        "middle_name": "H",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0231821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A.P. New York Comprehensive Medical Care PC
• Danielle Nicole Aarons
• Angelyse Abalco, LMSW
• Monique Abarca
• Deena Abbe, PH.D.
• Jeby Abraham, M.D.
• Jessica Abrams
• Danielle Marie Aceto, DPT
• Active Life Health of Ny PC
• Active Life Health of Ny PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.