Active NPI
Nathaniel Krispin, PA-C
- Physician Assistant
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 13020 Farmers Blvd
Jamaica, NY 11434-4122 - Phone
- (646) 518-8263
- NPI assigned
- Nov 22, 2021
- Last updated
- Nov 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
13020 Farmers Blvd
Jamaica, NY 11434-4122
Mailing address
3721 Carrel Blvd
Oceanside, NY 11572-5911
Phone (516) 209-7685
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10202 Liberty Ave
Ozone Park, NY 11417-1727
Phone (718) 571-9265
13030 Farmers Blvd
Jamaica, NY 11434-4122
Phone (646) 518-8263
22405 Jamaica Ave
Queens Village, NY 11428-2019
Phone (718) 571-9395
3111 Steinway St
Astoria, NY 11103-3908
Phone (718) 475-2345
6118 188TH St
Fresh Meadows, NY 11365-2713
Phone (718) 489-5003
7049 Austin St
Forest Hills, NY 11375-1033
Phone (718) 280-1245
7425 Grand Ave
Elmhurst, NY 11373-4126
Phone (718) 803-2273
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 82.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027707 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients |
Locations
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435
Interoperability endpoints
- nathaniel.krispin.1@2983.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba CityMD Urgent Care
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1902425192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1356008536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3721 CARREL BLVD",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115725911",
"telephone_number": "516-209-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13020 FARMERS BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114344122",
"telephone_number": "646-518-8263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISPIN",
"first_name": "NATHANIEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-22",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.