Allison Ain-Breth, PA
Individual provider Active NPI Physician Assistant · New York, NY
NPI 1356367478 · NPPES record last updated May 3, 2023
Key facts
- NPI
- 1356367478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 010170 (NY)
- Practice address
- 850 3Rd Ave
8TH Floor
New York, NY 10022-6222 - Phone
- (212) 548-5525
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New York University
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923
Hospital & facility affiliations
- North Shore University Hospital
- St Francis Hospital - the Heart Center
- NYU Langone Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070116000563 | NY | Practitioner - Physician Assistant | 0941223754 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010170 | NY | MD | Occupational Therapist |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Emergency Medicine | Current |
Accepting new patients |
| New York University | Current |
Accepting new patients | |
| Premise Health of New York Medical PC | Past | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- aainbreth519356@nyumc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 010170 | NY | |
| Physician Assistant | 363A00000X | 010170 | NY | Yes |
Addresses
Primary practice location
850 3Rd Ave
8TH Floor
New York, NY 10022-6222
Mailing address
850 Third Avenue
8TH Floor
New York, NY 10022
Phone (212) 548-5525
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02720670 | Medicaid | NY |
Other names
- Allison Ain
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aainbreth519356@nyumc.direct-ci.com |
Other providers in New York, NY
- Brian Trevor Aiken
- Chantelle Monique Aiken
- Adelina Ailarov
- Bijan Aime
- Fredeline Aime
- Alysa Harder Ain
- Eileen Joan Ain
- Enid Ain
- Alfred J. Ainbinder
- Jeffrey Louis Ainspan
All providers in New York, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.