Individual provider Active NPI

Katharine Sapienza, PA-C

  • Physician Assistant
  • Riverhead, NY
National Provider Identifier
1326757568
Registry record updated Dec 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
74 Commerce Dr.
Suite 1
Riverhead, NY 11901
Phone
(631) 727-3422
NPI assigned
Nov 16, 2022
Last updated
Dec 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 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 NY Primary

Addresses

Primary practice location

74 Commerce Dr.
Suite 1
Riverhead, NY 11901

Mailing address

15727 81St St
Howard Beach, NY 11414-2642
Phone (718) 541-8366

Other practice location 1

600 Montauk Hwy Ste C
Center Moriches, NY 11934-2235
Phone (631) 638-7820

Other practice location 2

183 W Montauk Hwy
Hampton Bays, NY 11946-2305
Phone (631) 723-2299

Other practice location 3

595 Hampton Rd
Southampton, NY 11968-3004
Phone (631) 283-0918

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
I20230131001966 NY Practitioner - Physician Assistant 9032580931 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

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-8091
Phone (631) 444-7650

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-4686

Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (631) 638-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Square Care Medical Group, LLP PastSince Jun 1, 2015 Accepting new patients

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/15987/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670716800000",
    "number": "1326757568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15727 81ST ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142642",
            "telephone_number": "718-541-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 COMMERCE DR.",
            "address_2": "SUITE 1",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-727-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Montauk Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Center Moriches",
            "state": "NY",
            "postal_code": "119342235",
            "country_code": "US",
            "telephone_number": "631-638-7820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "183 W Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "Hampton Bays",
            "state": "NY",
            "postal_code": "119462305",
            "country_code": "US",
            "telephone_number": "631-723-2299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "595 Hampton Rd",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "119683004",
            "country_code": "US",
            "telephone_number": "631-283-0918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAPIENZA",
        "first_name": "KATHARINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-12-11",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.