Active NPI
Kristy Altongy-Magee, PA-C
- Surgical Physician Assistant
- Providence, RI
National Provider Identifier
1336334473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA00475
- Practice address
- 164 Summit Ave
Room C70
Providence, RI 02906-2853 - Phone
- (401) 793-3922
- Fax
- (401) 435-7069
- NPI assigned
- Sep 12, 2007
- Last updated
- Feb 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA2466 | MA | |
| Surgical Physician Assistant | 363AS0400X | PA00475 | RI | Primary |
Addresses
Primary practice location
164 Summit Ave
Room C70
Providence, RI 02906-2853
Mailing address
PO Box 16149
Rumford, RI 02916-0697
Phone (401) 453-9625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2466 | MA | MD | Occupational Therapist |
| PA2466 | MA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297641600000",
"number": "1336334473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16149",
"city": "RUMFORD",
"state": "RI",
"postal_code": "029160697",
"telephone_number": "401-453-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 SUMMIT AVE",
"address_2": "ROOM C70",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062853",
"telephone_number": "401-793-3922",
"fax_number": "401-435-7069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTONGY-MAGEE",
"first_name": "KRISTY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2011-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA2466",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "RI",
"license": "PA00475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.