Active NPI
Maxine I Pascal, PA-C
- Physician Assistant
- Carmel, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 686 Stoneleigh Ave
Carmel, NY 10512-3931 - Phone
- (845) 279-2952
- NPI assigned
- Sep 23, 2022
- Last updated
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 028966 | NY | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
686 Stoneleigh Ave
Carmel, NY 10512-3931
Mailing address
51 Forest Ave Apt 157
Old Greenwich, CT 06870-1534
Other practice location 1
75 Veronica Ave Ste 205
Somerset, NJ 08873-5002
Phone (732) 246-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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)
659 New Dover Rd
Edison, NJ 08820-1912
Phone (732) 912-7909
75 Veronica Ave
Suite 205
Somerset, NJ 08873-5002
Phone (732) 246-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Edison, NJ
- NPI 1558138214
-
- Dermatology Physician
- Somerset, NJ
- NPI 1467091983
-
- Dermatology Physician
- Yorktown Heights, NY
- NPI 1841284528
-
- Dermatology Physician
- Jersey City, NJ
- NPI 1699513960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1356064380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 FOREST AVE APT 157",
"city": "OLD GREENWICH",
"state": "CT",
"postal_code": "068701534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 STONELEIGH AVE",
"city": "CARMEL",
"state": "NY",
"postal_code": "105123931",
"telephone_number": "845-279-2952"
}
],
"practiceLocations": [
{
"address_1": "75 Veronica Ave Ste 205",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "NJ",
"postal_code": "088735002",
"country_code": "US",
"telephone_number": "732-246-9900",
"fax_number": "732-246-9903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASCAL",
"first_name": "MAXINE",
"middle_name": "I",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-23",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NY",
"license": "028966",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.